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1457366957
ELLEN GALE MADNICK
PORTLAND, OR
NPI
1457366957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD14792)
Enumeration Date
2006-07-31
Last Update Date
2020-10-23
Business Address
ELLEN GALE MADNICK MD
10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220-3873
Phone number: 503-253-6754
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Mailing Address
ELLEN GALE MADNICK MD
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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