PAUL E VANBREDAVRIESMAN

GRESHAM, OR
NPI1043453582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0505X Family Medicine Adult Medicine
(Licence: OR  MD11073)
Enumeration Date2009-04-14
Last Update Date2009-04-14
Business Address
DR. PAUL E VANBREDAVRIESMAN M.D.
18000 SE STARK STREET
GRESHAM, OR 97233
Phone number: 503-255-4243
Mailing Address
DR. PAUL E VANBREDAVRIESMAN M.D.
16244 NE SAN RAFAEL DR 18000 SE STARK STREET
PORTLAND, OR 97230-5661
Phone number: 503-255-4243
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