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1063584217
RANDY LEE ELLERBROOK
PORTLAND, OR
NPI
1063584217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD08564)
Enumeration Date
2006-11-14
Last Update Date
2008-05-27
Business Address
Dr. RANDY LEE ELLERBROOK M.D.
9155 SW BARNES RD SUITE 205
PORTLAND, OR 97225-6625
Phone number: 503-297-5581
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Mailing Address
Dr. RANDY LEE ELLERBROOK M.D.
9155 SW BARNES RD SUITE 230
PORTLAND, OR 97225-6625
Phone number: 503-445-3235
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