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1174050512
LINK IAM LAITHREACH
GRESHAM, OR
NPI
1174050512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201406614RN)
Enumeration Date
2017-05-16
Last Update Date
2017-05-16
Business Address
LINK IAM LAITHREACH RN
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number: 503-666-6575
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Mailing Address
LINK IAM LAITHREACH RN
8765 SW CORTEZ CT
BEAVERTON, OR 97008-7285
Phone number:
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