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1093176604
RICHARD ORTIZ
PORTLAND, OR
NPI
1093176604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201030148LPN)
Enumeration Date
2016-03-09
Last Update Date
2016-03-09
Business Address
-- RICHARD ORTIZ
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
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Mailing Address
-- RICHARD ORTIZ
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number:
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