JACK BURTON BLUMBERG

PORTLAND, OR
NPI1164624722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: OR  5643)
Enumeration Date2007-06-04
Last Update Date2007-07-08
Business Address
Dr. JACK BURTON BLUMBERG M.D.
2521 NW UPSHUR ST
PORTLAND, OR 97210-2549
Phone number: 503-223-0394
Mailing Address
Dr. JACK BURTON BLUMBERG M.D.
2521 NW UPSHUR ST
PORTLAND, OR 97210-2549
Phone number: 503-223-0394
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