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Mrs. Selena Martin Sideras, DO
Student in an Organized Health Care Education/Training Program in Lebanon, Oregon
NPI 1356733463

Selena Martin Sideras is a Student in an Organized Health Care Education/Training Program based in Seattle, OR. Selena Martin Sideras practices in Lebanon, OR and has the professional credentials of DO. The NPI Number for Selena Martin Sideras is 1356733463 and holds a License No. (Oregon).

The current practice location address for Selena Martin Sideras is 200 Mullins Dr, Lebanon, OR and can be reached out via phone at 541-259-0200. You can also correspond with Selena Martin Sideras through the mailing address at 6163 NE RADFORD DR, SEATTLE, WA - 98115-7981 (mailing address contact number: 503-329-0240).

Location: 200 Mullins Dr, Lebanon, OR, 98115-7981
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356733463
Provider Name
Selena Martin Sideras
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
200 Mullins Dr, Lebanon, OR, 98115-7981
Phone Number
541-259-0200
Fax Number
Provider Enumeration Date
02/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355-3983
Phone Number
541-259-0200
Fax Number
person
Provider Business Mailing Address Details
Address
6163 Ne Radford Dr
City
Seattle
State
Washington
Zip
98115-7981
Phone Number
503-329-0240
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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