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1396831020
SCOTT PHILLIP DEATON
PORTLAND, OR
NPI
1396831020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA150087)
Enumeration Date
2006-10-04
Last Update Date
2017-02-07
Business Address
Mr. SCOTT PHILLIP DEATON P.A.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7551
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Mailing Address
Mr. SCOTT PHILLIP DEATON P.A.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7551
Copy
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