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1093726986
MARK FREDERICK WARD
PORTLAND, OR
NPI
1093726986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: OR 813)
Enumeration Date
2006-08-10
Last Update Date
2007-07-11
Business Address
DR. MARK FREDERICK WARD PH.D.
3710 SW US VETERANS HOSPITAL RD P3-IPCC
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
DR. MARK FREDERICK WARD PH.D.
3710 SW US VETERANS HOSPITAL RD P3IPCC
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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