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1376551234
ROBERT J. EARL
PORTLAND, OR
NPI
1376551234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00089)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
-- ROBERT J. EARL PA
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-413-4121
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Mailing Address
-- ROBERT J. EARL PA
6312 SW CAPITOL HWY #502
PORTLAND, OR 97239-1938
Phone number: 503-464-9034
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