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1043613409
ELENA MOYLE BURNETT
PORTLAND, OR
NPI
1043613409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282NW0100X General Acute Care Hospital, Women
Enumeration Date
2014-09-30
Last Update Date
2014-09-30
Business Address
-- ELENA MOYLE BURNETT MS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-4207
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Mailing Address
-- ELENA MOYLE BURNETT MS
3939 SW BOND AVE APT 209
PORTLAND, OR 97239-4596
Phone number: 775-378-5701
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