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Individual

DONELITA TOTPAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10350 SW AVERY ST, TUALATIN, OR 97062-9516
(503) 486-5644
(503) 427-1144
Mailing address
10350 SW AVERY ST, TUALATIN, OR 97062-9516
(503) 486-5644
(503) 427-1144

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
522659
OR

Other

Enumeration date
02/20/2014
Last updated
02/20/2014
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