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1376201749
GEORGE DERK
PORTLAND, OR
NPI
1376201749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
GEORGE DERK
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
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Mailing Address
GEORGE DERK
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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