person
Dr. Raisa Premysler, MD
General Practice Physician in Portland, Oregon
NPI 1407908650

Raisa Premysler is a General Practice Physician based in Portland, OR. Raisa Premysler practices in Portland, OR and has the professional credentials of MD. The NPI Number for Raisa Premysler is 1407908650 and holds a License No. MD15738 (Oregon).

The current practice location address for Raisa Premysler is 426 Sw Stark St, Portland, OR and can be reached out via phone at 503-988-3674 and via fax at 503-988-6905.

Location: 426 Sw Stark St, Portland, OR, 97204-1817
person
Provider Profile Details
NPI Number
1407908650
Provider Name
Raisa Premysler
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
426 Sw Stark St, Portland, OR, 97204-1817
Phone Number
503-988-3674
Fax Number
503-988-6905
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
426 Sw Stark St
City
State
Zip
97204-2347
Phone Number
503-988-3674
Fax Number
503-988-6905
person
Provider Business Mailing Address Details
Address
426 Sw Stark St
City
State
Zip
97204-2347
Phone Number
503-988-3674
Fax Number
503-988-6905
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD15738 (Oregon)
Definition
Definition to come...
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