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1366699464
OREGON CLINIC PC
VANCOUVER, WA
NPI
1366699464
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Entity Type
Organization
Authorized Contact
CRAIG S FAUSEL
CEO President
503-963-2801
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OR 160412)
Enumeration Date
2008-08-20
Last Update Date
2015-07-07
Business Address
OREGON CLINIC PC
315 SE STONEMILL DR SUITE 220
VANCOUVER, WA 98684-6998
Phone number: 503-963-2707
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Mailing Address
OREGON CLINIC PC
847 NE 19TH AVE SUITE 300
PORTLAND, OR 97232-2684
Phone number: 503-963-2801
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