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1215043245
RICHARD W WISE
PORTLAND, OR
NPI
1215043245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR 12359)
Enumeration Date
2006-08-22
Last Update Date
2022-02-04
Business Address
-- RICHARD W WISE MD
2419 SW RICHARDSON ST
PORTLAND, OR 97239-2133
Phone number: 503-245-3494
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Mailing Address
-- RICHARD W WISE MD
2419 SW RICHARDSON ST
PORTLAND, OR 97239-2133
Phone number: 503-245-3494
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