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1114050754
DEANE C DE FONTES
PORTLAND, OR
NPI
1114050754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MC24712)
Enumeration Date
2007-03-13
Last Update Date
2009-12-14
Business Address
-- DEANE C DE FONTES MD
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
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Mailing Address
-- DEANE C DE FONTES MD
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
Copy
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