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1194780353
HENRY R RIVAS
PORTLAND, OR
NPI
1194780353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD14654)
Enumeration Date
2006-04-19
Last Update Date
2007-07-08
Business Address
-- HENRY R RIVAS MD
11510 SE STARK ST
PORTLAND, OR 97216-3356
Phone number: 503-256-0636
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Mailing Address
-- HENRY R RIVAS MD
PO BOX 92900
PORTLAND, OR 97292-0900
Phone number:
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