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1376754515
SAMUEL WASMANN
BEAVERTON, OR
NPI
1376754515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD28116)
Enumeration Date
2007-05-26
Last Update Date
2008-07-03
Business Address
-- SAMUEL WASMANN
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-626-4148
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Mailing Address
-- SAMUEL WASMANN
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number:
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