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NPI Code Detail

MEDICARE: DANIEL TELGARSKY CRM

MEDICARE:   DANIEL  TELGARSKY  CRM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist16-CRM-224OR

General Provider Information

NPI Number : 1720530264
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL TELGARSKY CRM
Provider Business Mailing Address
First Line : PO BOX 16756
Second Line :
City : PORTLAND
State : OR
Zip : 97292-0756
Country : US
Telephone Number : 971-517-7050
Fax Number : 503-208-2596
Provider Business Practice Location Address
First Line : 7916 SE FOSTER RD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-4289
Country : US
Telephone Number : 971-517-7050
Fax Number : 971-302-7469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2016
Last Update Date : 01/11/2018

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Directions to “ DANIEL TELGARSKY CRM” Practice Location

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