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1225265515
ELIS MADRIGAL
PORTLAND, OR
NPI
1225265515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD156524)
Enumeration Date
2009-06-15
Last Update Date
2018-04-23
Business Address
ELIS MADRIGAL MD
10373 NE HANCOCK ST STE 110
PORTLAND, OR 97220-3873
Phone number: 503-383-1423
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Mailing Address
ELIS MADRIGAL MD
10373 NE HANCOCK ST STE 110
PORTLAND, OR 97220-3873
Phone number: 503-383-1423
Copy
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