Individual
RUSLAN PEREDEREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3008 SW CHASTAIN AVE, GRESHAM, OR 97080-9613
(503) 572-2293
Mailing address
3008 SW CHASTAIN AVE, GRESHAM, OR 97080-9613
(503) 757-8529
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60760768
WA
Other
Enumeration date
07/27/2017
Last updated
03/23/2020
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