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1174768451
HEIDI MOSS BOURS
PORTLAND, OR
NPI
1174768451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR 18119)
Enumeration Date
2008-12-15
Last Update Date
2008-12-15
Business Address
-- HEIDI MOSS BOURS MD
3181 SW SAM JACKSON PARK RD MAIL CODE VAMC P-3-GP1
PORTLAND, OR 97239-3011
Phone number: 888-233-8305
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Mailing Address
-- HEIDI MOSS BOURS MD
3181 SW SAM JACKSON PARK RD MAIL CODE VAMC P-3-GP1
PORTLAND, OR 97239-3011
Phone number: 888-233-8305
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