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1043225543
JAMES CLIVE CHESNUTT
LAKE OSWEGO, OR
NPI
1043225543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: OR MD19344)
Enumeration Date
2006-07-31
Last Update Date
2020-02-11
Business Address
JAMES CLIVE CHESNUTT MD
4811 MEADOWS RD STE 101
LAKE OSWEGO, OR 97035-2542
Phone number: 360-254-6161
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Mailing Address
JAMES CLIVE CHESNUTT MD
200 NE MOTHER JOSEPH PL STE 210
VANCOUVER, WA 98664-3295
Phone number: 360-254-6161
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