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1134204340
GRESHAM INTERNAL MEDICINE CLINIC
GRESHAM, OR
NPI
1134204340
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Entity Type
Organization
Authorized Contact
JOHN M CUSTIS
Owner/Partner
503-667-1015
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR 01794)
Enumeration Date
2006-10-26
Last Update Date
2008-12-11
Business Address
GRESHAM INTERNAL MEDICINE CLINIC
24900 SE STARK ST STE 109
GRESHAM, OR 97030-3381
Phone number: 503-667-1015
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Mailing Address
GRESHAM INTERNAL MEDICINE CLINIC
PO BOX 23200
PORTLAND, OR 97281-3200
Phone number: 503-667-1015
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