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1184967200
JACOB THOMAS LUTY
PORTLAND, OR
NPI
1184967200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: OR MD176683)
Enumeration Date
2013-03-27
Last Update Date
2017-06-20
Business Address
-- JACOB THOMAS LUTY M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
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Mailing Address
-- JACOB THOMAS LUTY M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
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