Individual
KHARIA EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 SE 43RD AVE STE 200, PORTLAND, OR 97206-1671
(503) 238-0705
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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