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Orlando Impas

NPI 1245135185 · on the registry since 2026 · sole proprietor

Practice

Address
1725 N Killingsworth St
Portland, OR 97217
Phone
(206) 979-6785

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon