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1427447143
AT HOME PRIMARY CARE LLC.
PORTLAND, OR
NPI
1427447143
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Entity Type
Organization
Authorized Contact
SUZIE ANNETTE DAVIS
Manager
503-344-6717
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2015-01-19
Last Update Date
2015-02-12
Business Address
AT HOME PRIMARY CARE LLC.
6400 SE LAKE RD # 420
PORTLAND, OR 97222-2129
Phone number: 503-344-6717
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Mailing Address
AT HOME PRIMARY CARE LLC.
6400 SE LAKE RD # 420
PORTLAND, OR 97222-2129
Phone number: 503-344-6717
Copy
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