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1649380395
MALLIK N TELLA
PORTLAND, OR
NPI
1649380395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OR MD155385)
Enumeration Date
2006-08-30
Last Update Date
2024-10-02
Business Address
MALLIK N TELLA MD
10123 SE MARKET ST
PORTLAND, OR 97216-2599
Phone number: 503-257-2500
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Mailing Address
MALLIK N TELLA MD
10123 SE MARKET ST
PORTLAND, OR 97216-2532
Phone number: 503-257-2500
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