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1053454850
JOHN MULLEN
CLACKAMAS, OR
NPI
1053454850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD20837)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
-- JOHN MULLEN
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
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Mailing Address
-- JOHN MULLEN
PO BOX 10124
PORTLAND, OR 97296-0124
Phone number: 503-652-2880
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