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1225726375
COLE PAVELCHEK
PORTLAND, OR
NPI
1225726375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
COLE PAVELCHEK
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
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Mailing Address
COLE PAVELCHEK
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3079
Phone number: 503-494-8311
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