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1235464868
PORTLAND MEDICAL DIAGNOSTIC CENTER INC
PORTLAND, OR
NPI
1235464868
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Entity Type
Organization
Authorized Contact
GEORGE MACIAS
Secretary
503-408-7578
Organization Subpart ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2009-10-15
Last Update Date
2009-10-15
Business Address
PORTLAND MEDICAL DIAGNOSTIC CENTER INC
13232 SE STARK ST SUITE 4
PORTLAND, OR 97233-1573
Phone number: 503-408-7578
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Mailing Address
PORTLAND MEDICAL DIAGNOSTIC CENTER INC
13232 SE STARK ST
PORTLAND, OR 97233-1573
Phone number: 503-408-7578
Copy
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