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1144383993
TANASBOURNE FAMILY MEDICINE LLC
BEAVERTON, OR
NPI
1144383993
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Entity Type
Organization
Authorized Contact
CRAIG GILPIN MYERS
Owner
503-614-8400
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD15139)
Enumeration Date
2006-12-19
Last Update Date
2008-02-08
Business Address
TANASBOURNE FAMILY MEDICINE LLC
17200 NW CORRIDOR CT STE 105
BEAVERTON, OR 97006-3295
Phone number: 503-614-8400
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Mailing Address
TANASBOURNE FAMILY MEDICINE LLC
17200 NW CORRIDOR CT STE 105
BEAVERTON, OR 97006-3295
Phone number: 503-614-8400
Copy
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