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1164153680
ADAM LYLE URBACK
PORTLAND, OR
NPI
1164153680
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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
2022-06-24
Last Update Date
2022-06-24
Business Address
Dr. ADAM LYLE URBACK MD, MS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
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Mailing Address
Dr. ADAM LYLE URBACK MD, MS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
Copy
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