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1407933872
NORTHWEST GASTROENTEROLOGY CLINIC LLC
PORTLAND, OR
NPI
1407933872
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Entity Type
Organization
Authorized Contact
ROLAND WILLIAM BENNETTS
Partner
503-229-7137
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-11-01
Last Update Date
2015-06-15
Business Address
NORTHWEST GASTROENTEROLOGY CLINIC LLC
1130 NW 22ND AVE STE 410
PORTLAND, OR 97210-2911
Phone number: 503-229-7137
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Mailing Address
NORTHWEST GASTROENTEROLOGY CLINIC LLC
1130 NW 22ND AVE STE 410
PORTLAND, OR 97210-2911
Phone number: 503-229-7137
Copy
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