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1346327905
THERESA E MADDEN
PORTLAND, OR
NPI
1346327905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: OR D6849)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
-- THERESA E MADDEN DDS
611 SW CAMPUS DR ROOM 19
PORTLAND, OR 97239-3001
Phone number: 503-494-4316
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Mailing Address
-- THERESA E MADDEN DDS
0220 SW TEXAS ST
PORTLAND, OR 97219-2342
Phone number: 503-638-0623
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