RAISA MICHYLOVNA RAZLOGA

SALEM, OR
NPI1891138665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  12184)
Enumeration Date2013-04-11
Last Update Date2013-04-11
Business Address
-- RAISA MICHYLOVNA RAZLOGA LMT
3530 LIBERTY RD S
SALEM, OR 97302-5622
Phone number: 503-856-5166
Mailing Address
-- RAISA MICHYLOVNA RAZLOGA LMT
5206 EDGECREST CT SE
SALEM, OR 97306-1840
Phone number: 503-856-5166