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1003467697
EUGENE AUSTIN PARK
PORTLAND, OR
NPI
1003467697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-09-25
Last Update Date
2019-09-25
Business Address
Mr. EUGENE AUSTIN PARK
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6250
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Mailing Address
Mr. EUGENE AUSTIN PARK
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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