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1134732100
JACOB R KAUFMAN
PORTLAND, OR
NPI
1134732100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D11315)
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
JACOB R KAUFMAN DMD
12596 SE STARK ST BLDG N
PORTLAND, OR 97233-1056
Phone number: 503-252-9657
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Mailing Address
JACOB R KAUFMAN DMD
7045 NE DAVIS ST
PORTLAND, OR 97213-5629
Phone number: 503-476-7660
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