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1316121692
PORTLAND OCULOPLASTICS, PC
PORTLAND, OR
NPI
1316121692
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Entity Type
Organization
Authorized Contact
SCOT A SULLIVAN
President
503-223-8333
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: OR MD21723)
Enumeration Date
2007-12-22
Last Update Date
2021-10-06
Business Address
PORTLAND OCULOPLASTICS, PC
10305 SW PARK WAY STE 203
PORTLAND, OR 97225-5033
Phone number: 503-223-8333
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Mailing Address
PORTLAND OCULOPLASTICS, PC
10305 SW PARK WAY STE 203
PORTLAND, OR 97225-5033
Phone number: 503-223-8333
Copy
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