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1063418325
JACK P SCHUNK
PORTLAND, OR
NPI
1063418325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OR MD13919)
Enumeration Date
2005-06-22
Last Update Date
2007-07-08
Business Address
-- JACK P SCHUNK MD
2525 NW LOVEJOY ST STE 200
PORTLAND, OR 97210-2863
Phone number: 503-227-0671
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Mailing Address
-- JACK P SCHUNK MD
4307 SW IDAHO DR
PORTLAND, OR 97221-3347
Phone number: 503-246-9687
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