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1265711097
SCOTT HANSEN DOUGERTY
PORTLAND, OR
NPI
1265711097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D9634)
Enumeration Date
2011-08-10
Last Update Date
2011-08-10
Business Address
Dr. SCOTT HANSEN DOUGERTY DMD
1809 NW DAVIS ST
PORTLAND, OR 97209-2145
Phone number: 503-939-1001
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Mailing Address
Dr. SCOTT HANSEN DOUGERTY DMD
1809 NW DAVIS ST
PORTLAND, OR 97209-2145
Phone number: 503-939-1001
Copy
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