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1396766796
EDWARD EVERETT CONRAD
LAKE OSWEGO, OR
NPI
1396766796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR 12913)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
Dr. EDWARD EVERETT CONRAD M.D.
550 3RD ST
LAKE OSWEGO, OR 97034-3002
Phone number: 503-635-5044
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Mailing Address
Dr. EDWARD EVERETT CONRAD M.D.
PO BOX 365
LAKE OSWEGO, OR 97034-0042
Phone number: 503-635-5044
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