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1104844661
RICHARD WAYNE CRAFT
GRESHAM, OR
NPI
1104844661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD16231)
Enumeration Date
2006-07-17
Last Update Date
2023-02-02
Business Address
RICHARD WAYNE CRAFT MD
24900 SE STARK ST STE 202
GRESHAM, OR 97030-3382
Phone number: 503-465-8887
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Mailing Address
RICHARD WAYNE CRAFT MD
24900 SE STARK ST STE 202
GRESHAM, OR 97030
Phone number: 503-465-8887
Copy
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