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1215951215
MINOT CLEVELAND
PORTLAND, OR
NPI
1215951215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD12456)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- MINOT CLEVELAND MD
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-7260
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Mailing Address
-- MINOT CLEVELAND MD
6312 SW CAPITOL HWY # 502
PORTLAND, OR 97239-1938
Phone number: 503-464-9034
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