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1114913183
GORDON PAUL CANZLER
GRESHAM, OR
NPI
1114913183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO15150)
Enumeration Date
2005-09-23
Last Update Date
2007-10-10
Business Address
GORDON PAUL CANZLER D.O.
400 NE ROBERTS AVE
GRESHAM, OR 97030-7464
Phone number: 503-665-9144
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Mailing Address
GORDON PAUL CANZLER D.O.
400 NE ROBERTS AVE
GRESHAM, OR 97030-7464
Phone number: 503-665-9144
Copy
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