Frances Bubalo

NPI 1063837458 - Internal Medicine - 207R00000X

NPI Details
NPI 1063837458
Gender Female
Enumeration Date 02/21/2014
Last Updated 02/21/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
4535 SW TARLOW CT
PORTLAND OR, 97221-3681, US
Phone (503) 246-6256
Fax
Business Location
4535 SW TARLOW CT
PORTLAND OR, 97221-3681, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Oregon
License Number MD17803
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According to our database, Frances Bubalo NPI is 1063837458, taxonomy code is 207R00000X and license number is MD17803, license state is located at Oregon. Frances Bubalo physically located at 4535 Sw Tarlow Ct, Portland OR, 97221-3681. NPI Number Frances Bubalo has the Individual type.

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1063837458 NPI number is provided on an as is basis without warranty of any kind. 1063837458 is maintained by the National Plan & Provider Enumeration System. The contents of Frances Bubalo are for informational purposes only.