Individual
DANIEL TELGARSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
7916 SE FOSTER RD, PORTLAND, OR 97206-4289
(971) 517-7050
(971) 302-7469
Mailing address
PO BOX 16756, PORTLAND, OR 97292-0756
(971) 517-7050
(503) 208-2596
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
16-CRM-224
OR
Other
Enumeration date
11/01/2016
Last updated
01/11/2018
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