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1154914232
WONDERFUL MEDICAL GROUP PC
PORTLAND, OR
NPI
1154914232
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Entity Type
Organization
Authorized Contact
JEFFREY LEE KATZ
President
508-404-9910
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-02-19
Last Update Date
2021-07-25
Business Address
WONDERFUL MEDICAL GROUP PC
920 SW 6TH AVE STE 1200
PORTLAND, OR 97204-1212
Phone number: 503-208-4116
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Mailing Address
WONDERFUL MEDICAL GROUP PC
PO BOX 1714
BEAVERTON, OR 97075-1714
Phone number: 503-208-4116
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