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1114932621
LOUIS P. RICCELLI
PORTLAND, OR
NPI
1114932621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: OR MD22468)
Enumeration Date
2006-07-31
Last Update Date
2020-06-24
Business Address
LOUIS P. RICCELLI MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-0990
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Mailing Address
LOUIS P. RICCELLI MD
3181 SW SAM JACKSON PARK RD CR-135
PORTLAND, OR 97239-3011
Phone number: 503-494-7576
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