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1275822371
IDA SHEEVAUN KHAKI
PORTLAND, OR
NPI
1275822371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OR MD166953)
Enumeration Date
2011-03-30
Last Update Date
2014-06-18
Business Address
-- IDA SHEEVAUN KHAKI MD
3181 SW SAM JACKSON PARK RD. OHSU
PORTLAND, OR 97239
Phone number: 503-494-8211
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Mailing Address
-- IDA SHEEVAUN KHAKI MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-2000
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