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1083614689
RUSSELL C TEASDALE
PORTLAND, OR
NPI
1083614689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 5751)
Enumeration Date
2005-07-26
Last Update Date
2023-06-13
Business Address
Dr. RUSSELL C TEASDALE DMD
1316 SW 13TH AVENUE
PORTLAND, OR 97201
Phone number: 503-235-0555
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Mailing Address
Dr. RUSSELL C TEASDALE DMD
1316 SW 13TH AVE
PORTLAND, OR 97201-3355
Phone number: 503-974-3829
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