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1265029854
CALDER R DORN
PORTLAND, OR
NPI
1265029854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR PG215608)
Enumeration Date
2020-12-29
Last Update Date
2023-06-18
Business Address
CALDER R DORN DO
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-2621
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Mailing Address
CALDER R DORN DO
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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