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1194733659
ROBERT LEROY SACK
PORTLAND, OR
NPI
1194733659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR MD11006)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
ROBERT LEROY SACK MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8617
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Mailing Address
ROBERT LEROY SACK MD
208 DURHAM ST
LAKE OSWEGO, OR 97034-3908
Phone number:
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