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1336157882
JON MICHAEL HANIFIN
PORTLAND, OR
NPI
1336157882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: OR MD08045)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
JON MICHAEL HANIFIN MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-3376
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Mailing Address
JON MICHAEL HANIFIN MD
4108 SW GREENLEAF CT
PORTLAND, OR 97221-3215
Phone number:
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