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1275080509
ALEX NEWGARD
PORTLAND, OR
NPI
1275080509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-09-02
Last Update Date
2016-09-02
Business Address
-- ALEX NEWGARD
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
-- ALEX NEWGARD
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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