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1104873231
KENNETH FAVOUR
VANCOUVER, WA
NPI
1104873231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00039094)
Enumeration Date
2006-05-26
Last Update Date
2022-02-04
Business Address
-- KENNETH FAVOUR M.D.
700 NE 87TH AVE
VANCOUVER, WA 98664-1913
Phone number: 360-254-1240
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Mailing Address
-- KENNETH FAVOUR M.D.
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 97232-2031
Phone number: 503-813-3860
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