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1164519112
JUSTIN EVANS DENNY
PORTLAND, OR
NPI
1164519112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD21967)
Enumeration Date
2006-10-09
Last Update Date
2007-07-08
Business Address
JUSTIN EVANS DENNY MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8573
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Mailing Address
JUSTIN EVANS DENNY MD
5739 SW CHELTENHAM DR
PORTLAND, OR 97239-2776
Phone number:
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