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Individual

DR. ARMANDO JERRY ZELADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2480 NE FREMONT ST, PORTLAND, OR 97212-2509
(503) 284-3937
(503) 281-5711
Mailing address
2480 NE FREMONT ST, PORTLAND, OR 97212-2509
(503) 284-3937
(503) 281-5711

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1808ATI
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008479
OR
01
410018909
RAILROAD MEDICARE
Enumeration date
11/02/2005
Last updated
06/12/2012
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