Individual
VANESSA ARMET TALBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(215) 301-0905
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(215) 301-0905
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT190923
PA
Other
Enumeration date
09/11/2007
Last updated
08/23/2013
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