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1336177138
ERIC J FREDERICK
PORTLAND, OR
NPI
1336177138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
231H00000X Audiologist
(Licence: OR 21685)
Enumeration Date
2006-06-29
Last Update Date
2011-09-16
Business Address
-- ERIC J FREDERICK Au.D
825 NE 20TH AVE SUITE 230
PORTLAND, OR 97232-2275
Phone number: 503-928-4327
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Mailing Address
-- ERIC J FREDERICK Au.D
10350 N VANCOUVER WAY #236
PORTLAND, OR 97217-7530
Phone number: 503-928-4327
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