Individual
MR. LEV VOLOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5318 COVENTRY CT, LAKE OSWEGO, OR 97035-8741
(503) 968-6409
Mailing address
5318 COVENTRY CT, LAKE OSWEGO, OR 97035-8741
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12789
OR
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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