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1245303445
MARK JOHN WAHLE
PORTLAND, OR
NPI
1245303445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD23301)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Dr. MARK JOHN WAHLE M.D.
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-297-6334
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Mailing Address
Dr. MARK JOHN WAHLE M.D.
9340 SW BARNES RD SUITE 202
PORTLAND, OR 97225-6623
Phone number: 503-297-6334
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