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1093401705
JACK P O'GRADY
PORTLAND, OR
NPI
1093401705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-14
Last Update Date
2024-09-15
Business Address
Dr. JACK P O'GRADY MD
3181 SW SAM JACKSON ROAD
PORTLAND, OR 97239-9723
Phone number: 503-494-8211
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Mailing Address
Dr. JACK P O'GRADY MD
3181 SW SAM JACKSON ROAD L-579
PORTLAND, OR 97239
Phone number: 503-494-8211
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