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1316400237
MICHAEL PTAK
HILLSBORO, OR
NPI
1316400237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201900293RN)
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
MICHAEL PTAK
10690 NE CORNELL RD STE 220
HILLSBORO, OR 97124-9224
Phone number: 503-848-5861
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Mailing Address
MICHAEL PTAK
6420 SW MACADAM AVE STE 300
PORTLAND, OR 97239-3519
Phone number: 503-941-3077
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