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1275627325
DIANE M COCKBURN
PORTLAND, OR
NPI
1275627325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 200250099)
Enumeration Date
2006-10-03
Last Update Date
2021-12-21
Business Address
Ms. DIANE M COCKBURN ANP
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number: 503-331-6500
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Mailing Address
Ms. DIANE M COCKBURN ANP
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number: 503-331-6500
Copy
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