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1225024052
DAVID FERNANDO ANTEZANA
PORTLAND, OR
NPI
1225024052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: OR MD24021)
Enumeration Date
2005-09-27
Last Update Date
2023-11-22
Business Address
DAVID FERNANDO ANTEZANA MD
5050 NE HOYT ST STE 359
PORTLAND, OR 97213-2983
Phone number: 503-935-8501
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Mailing Address
DAVID FERNANDO ANTEZANA MD
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801
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