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1336246479
IAN CLEMONS
PORTLAND, OR
NPI
1336246479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00692)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mr. IAN CLEMONS PA-C
3500 N INTERSTATE AVE EMERGICENTER
PORTLAND, OR 97227-1196
Phone number: 503-331-6101
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Mailing Address
Mr. IAN CLEMONS PA-C
724 SE 27TH AVE
PORTLAND, OR 97214-3009
Phone number: 503-238-5097
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