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1154471555
TIMOTHY PAUL BLETSCHER
PORTLAND, OR
NPI
1154471555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR 5666)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY PAUL BLETSCHER D.M.D.
5440 SW WESTGATE DR SUITE 215
PORTLAND, OR 97221-2420
Phone number: 503-297-3756
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Mailing Address
Dr. TIMOTHY PAUL BLETSCHER D.M.D.
5440 SW WESTGATE DR SUITE 215
PORTLAND, OR 97221-2420
Phone number: 503-297-3756
Copy
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