Individual
MICHAEL TELANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 N WILLAMETTE BLVD, PORTLAND, OR 97203-5743
(503) 943-7211
Mailing address
5000 N WILLAMETTE BLVD, PORTLAND, OR 97203-5743
(503) 943-7211
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
201340080RN
OR
Other
Enumeration date
04/05/2015
Last updated
04/05/2015
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