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1417971763
MARK C MOYLAN
TUALATIN, OR
NPI
1417971763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD25807)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- MARK C MOYLAN MD
19300 SW 65TH AVE
TUALATIN, OR 97062-7706
Phone number: 503-692-7474
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Mailing Address
-- MARK C MOYLAN MD
6312 SW CAPITOL HWY #502
PORTLAND, OR 97239-1938
Phone number: 503-464-9034
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