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1083904015
EDWARD THEODORE YSUNZA
PORTLAND, OR
NPI
1083904015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: OR DP170018)
Enumeration Date
2011-04-11
Last Update Date
2016-03-10
Business Address
-- EDWARD THEODORE YSUNZA
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
-- EDWARD THEODORE YSUNZA
21540 NW FRANSON WAY # 2201
HILLSBORO, OR 97006-6076
Phone number: 503-858-4641
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