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1013129410
MARK A CRISLIP
PORTLAND, OR
NPI
1013129410
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Entity Type
Organization
Authorized Contact
MARK CRISLIP
Md
503-413-8258
Organization Subpart ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
Enumeration Date
2007-05-06
Last Update Date
2008-06-19
Business Address
MARK A CRISLIP
1015 NW 22ND AVE R200
PORTLAND, OR 97210-3025
Phone number: 503-413-8258
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Mailing Address
MARK A CRISLIP
1015 NW 22ND AVE R200
PORTLAND, OR 97210-3025
Phone number:
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