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1265463996
SAMUEL J FELLIN
TIGARD, OR
NPI
1265463996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR DO16616)
Enumeration Date
2006-07-05
Last Update Date
2020-10-15
Business Address
SAMUEL J FELLIN DO
12442 SW SCHOLLS FERRY RD SUITE 106
TIGARD, OR 97223-3396
Phone number: 503-216-9200
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Mailing Address
SAMUEL J FELLIN DO
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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