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Individual

ALEX BORSUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
905 SE ANKENY ST, PORTLAND, OR 97214-1349
(971) 236-7610
Mailing address
700 SE CESAR E CHAVEZ BLVD APT 118, PORTLAND, OR 97214-3595
(440) 241-8144

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
09/17/2015
Last updated
09/17/2015
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