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Anfisa Baiandurova

NPI Registration Record

Provider / OrganizationNPIDate Certified
ANFISA BAIANDUROVA10236162812020-10-10
Entity TypeIndividual
Provider NameMrs. Anfisa Baiandurova MD
Practice Office Address3181 SW SAM JACKSON PARK RD
PORTLAND, OR US
Practice Office Telephone5037034967
Mailing Address3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393098 US
Business Telephone5037034967
Contact Endpoints
work e-mail [][email protected]Direct
HPT Codes
CodeLicense NoState
390200000X PRIMARYPG199228 OR
OPI Codes

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