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1346894102
KAREN DIANE MACON
PORTLAND, OR
NPI
1346894102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 096000535RN)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
KAREN DIANE MACON
1535 N WILLIAMS AVE
PORTLAND, OR 97227-1885
Phone number: 503-238-2067
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Mailing Address
KAREN DIANE MACON
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-501-5641
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