Individual
MS. DONNA JEAN BZDIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
35097 4TH LN, ASTORIA, OR 97103-6615
(503) 717-2513
Mailing address
35097 4TH LN, ASTORIA, OR 97103-6615
(503) 717-2513
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
58097
OR
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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