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1003055237
WOODSTOCK FAMILY MEDICINE LLC
PORTLAND, OR
NPI
1003055237
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Entity Type
Organization
Authorized Contact
MELANIE J SMYTHE
Provider
503-236-1830
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2009-02-11
Last Update Date
2009-02-11
Business Address
WOODSTOCK FAMILY MEDICINE LLC
5536 SE WOODSTOCK BLVD
PORTLAND, OR 97206-6829
Phone number: 503-236-1830
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Mailing Address
WOODSTOCK FAMILY MEDICINE LLC
5536 SE WOODSTOCK BLVD
PORTLAND, OR 97206-6829
Phone number: 503-236-1830
Copy
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