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1093058554
JOEL PAUL WOMACK
CLACKAMAS, OR
NPI
1093058554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR 176980)
Enumeration Date
2013-04-03
Last Update Date
2022-02-04
Business Address
Mr. JOEL PAUL WOMACK
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-3025
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Mailing Address
Mr. JOEL PAUL WOMACK
2721 SE 78TH AVE
PORTLAND, OR 97206-1703
Phone number: 503-679-9367
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