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1417957010
RICHARD LEE TILLMAN
PORTLAND, OR
NPI
1417957010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 4466)
Enumeration Date
2005-07-26
Last Update Date
2007-07-08
Business Address
-- RICHARD LEE TILLMAN
833 SW 11TH AVE SUITE 600
PORTLAND, OR 97205-2125
Phone number: 503-223-9725
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Mailing Address
-- RICHARD LEE TILLMAN
6500 SE SCOTT DR
PORTLAND, OR 97215-2018
Phone number:
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