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1386868859
IDELL S BROWN
PORTLAND, OR
NPI
1386868859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 090005334LPN)
Enumeration Date
2007-04-13
Last Update Date
2016-02-22
Business Address
-- IDELL S BROWN LPN
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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Mailing Address
-- IDELL S BROWN LPN
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
Copy
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