SONAN DABA ITCHA

MILWAUKIE, OR
NPI1689462780
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  10043886)
Enumeration Date2025-04-28
Last Update Date2025-04-28
Business Address
SONAN DABA ITCHA FNP
6551 SE PINE CREEK WAY
MILWAUKIE, OR 97267-1928
Phone number: 614-772-8120
Mailing Address
SONAN DABA ITCHA FNP
6551 SE PINE CREEK WAY
MILWAUKIE, OR 97267-1928
Phone number: 614-772-8120
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