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1063750339
SILAS MARK ULRICH
PORTLAND, OR
NPI
1063750339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201242966RN)
Enumeration Date
2013-01-22
Last Update Date
2013-01-22
Business Address
-- SILAS MARK ULRICH RN
1535 N WILLIAMS AVE
PORTLAND, OR 97227-1885
Phone number: 503-238-2067
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Mailing Address
-- SILAS MARK ULRICH RN
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number:
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