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1316017585
THERESA BUNKER
PORTLAND, OR
NPI
1316017585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 096006685N1)
Enumeration Date
2006-11-08
Last Update Date
2010-07-20
Business Address
-- THERESA BUNKER FNP
1410 NE 106TH AVE
PORTLAND, OR 97220-3934
Phone number: 503-460-0405
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Mailing Address
-- THERESA BUNKER FNP
1410 NE 106TH AVE
PORTLAND, OR 97220-3934
Phone number: 503-460-0405
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