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1124416946
MARK TYRRELL
PORTLAND, OR
NPI
1124416946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA170880)
Enumeration Date
2014-12-31
Last Update Date
2014-12-31
Business Address
-- MARK TYRRELL PA-C
202 NW 13TH AVE
PORTLAND, OR 97209-2953
Phone number: 503-684-8252
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Mailing Address
-- MARK TYRRELL PA-C
19075 NW TANASBOURNE DR STE 200
HILLSBORO, OR 97124-5860
Phone number: 503-684-8252
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