MAI'ANA THERESA BAMBA FEUERBORN

PORTLAND, OR
NPI1861134017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG210879)
Enumeration Date2022-04-08
Last Update Date2022-06-20
Business Address
MAI'ANA THERESA BAMBA FEUERBORN MD
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266-2954
Phone number: 503-215-9850
Mailing Address
MAI'ANA THERESA BAMBA FEUERBORN MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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