AUTUMN ROULAN, LMT
Contractor
Active
Individual
NPI: 1083993091
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | OBMT6906 (OR) |
Frequently Asked Questions
NPI 1083993091 is the National Provider Identifier for AUTUMN ROULAN, LMT, a Contractor provider located in Portland, OR. This NPI was enumerated on August 8, 2011.
AUTUMN ROULAN, LMT practices at 5835 NE DAVIS ST., Portland, OR 97213.
Quick Facts
- NPI
- 1083993091
- Type
- Individual
- Enumerated
- Aug 8, 2011
- Last Updated
- Aug 8, 2011
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