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1134705130
PHILIP JAMES BLATT
PORTLAND, OR
NPI
1134705130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-20
Last Update Date
2021-03-20
Business Address
Dr. PHILIP JAMES BLATT MD
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
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Mailing Address
Dr. PHILIP JAMES BLATT MD
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239-3011
Phone number:
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