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1437199254
JOHN GUSTAVSSON
PORTLAND, OR
NPI
1437199254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OR MD24209)
Enumeration Date
2006-06-08
Last Update Date
2010-12-29
Business Address
-- JOHN GUSTAVSSON MD
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-413-4032
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Mailing Address
-- JOHN GUSTAVSSON MD
2701 NW VAUGHN ST STE 425
PORTLAND, OR 97210-5311
Phone number: 503-227-2400
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