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1023167079
DODI L WADE
PORTLAND, OR
NPI
1023167079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR 099006377N2)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
-- DODI L WADE MSN, PNP
9555 SW BARNES RD SUITE 301
PORTLAND, OR 97225-6663
Phone number: 503-535-6338
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Mailing Address
-- DODI L WADE MSN, PNP
9555 SW BARNES RD SUITE 301
PORTLAND, OR 97225-6663
Phone number: 503-535-6338
Copy
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