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1114490521
MARK ANGEL HIDALGO
PORTLAND, OR
NPI
1114490521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-01-08
Last Update Date
2019-01-08
Business Address
MARK ANGEL HIDALGO
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
MARK ANGEL HIDALGO
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-243-2236
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