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1164841219
MARK BOLLMAN
PORTLAND, OR
NPI
1164841219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080H0002X
(Licence: TX R3478)
Enumeration Date
2014-04-15
Last Update Date
2018-09-13
Business Address
MARK BOLLMAN M.D.
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-220-1000
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Mailing Address
MARK BOLLMAN M.D.
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-3900
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