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1124107974
BILL LOUIS BOROK
PORTLAND, OR
NPI
1124107974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 1975ATI)
Enumeration Date
2006-11-03
Last Update Date
2022-02-10
Business Address
Dr. BILL LOUIS BOROK OD
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number: 503-331-5249
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Mailing Address
Dr. BILL LOUIS BOROK OD
4199 NW 178TH PL
PORTLAND, OR 97229-7703
Phone number: 503-331-5249
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