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1174971402
BYRON V ETTA
PORTLAND, OR
NPI
1174971402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A166911)
Enumeration Date
2016-05-26
Last Update Date
2022-01-05
Business Address
BYRON V ETTA MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-5678
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Mailing Address
BYRON V ETTA MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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