BERT G TAVELLI

PORTLAND, OR
NPI1013918978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: OR  MD 14681)
Enumeration Date2005-08-02
Last Update Date2023-03-07
Business Address
BERT G TAVELLI MD
2525 NW LOVEJOY ST STE 400
PORTLAND, OR 97210-2865
Phone number: 503-223-1933
Mailing Address
BERT G TAVELLI MD
2525 NW LOVEJOY ST STE 400
PORTLAND, OR 97210-2865
Phone number: 503-223-1933
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