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1164410874
BLAYNE A STANDAGE
PORTLAND, OR
NPI
1164410874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: OR MD12970)
Enumeration Date
2005-10-07
Last Update Date
2011-03-04
Business Address
-- BLAYNE A STANDAGE MD
1130 NW 22ND AVE SUITE300
PORTLAND, OR 97210-2900
Phone number: 503-226-4325
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Mailing Address
-- BLAYNE A STANDAGE MD
1130 NW 22ND AVE SUITE300
PORTLAND, OR 97210-2900
Phone number: 503-226-4325
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