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1245633049
EMERALD FAMILY MEDICINE LLC
PORTLAND, OR
NPI
1245633049
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Entity Type
Organization
Authorized Contact
EMERALD MANSFIELD
Owner
503-567-9355
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2014-10-07
Last Update Date
2016-10-21
Business Address
EMERALD FAMILY MEDICINE LLC
819 SE MORRISON ST STE 115
PORTLAND, OR 97214-6307
Phone number: 503-956-9396
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Mailing Address
EMERALD FAMILY MEDICINE LLC
5719 SE 72ND AVE
PORTLAND, OR 97206-5811
Phone number: 503-567-9355
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