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1255607446
BEAVERTON FAMILY MEDICINE
BEAVERTON, OR
NPI
1255607446
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Entity Type
Organization
Authorized Contact
KEITH HAINES
Owner
503-213-3800
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-04-01
Last Update Date
2012-06-25
Business Address
BEAVERTON FAMILY MEDICINE
17200 NW CORRIDOR CT SUITE 110
BEAVERTON, OR 97006-3295
Phone number: 503-213-3800
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Mailing Address
BEAVERTON FAMILY MEDICINE
17200 NW CORRIDOR CT SUITE 110
BEAVERTON, OR 97006-3295
Phone number: 503-213-3800
Copy
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