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1457461022
MARK ALDEN CRISLIP
PORTLAND, OR
NPI
1457461022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: OR MD16614)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. MARK ALDEN CRISLIP MD
1015 NW 22ND R200
PORTLAND, OR 97210
Phone number: 503-413-8258
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Mailing Address
Dr. MARK ALDEN CRISLIP MD
10347 SE 99TH DR
PORTLAND, OR 97266-7230
Phone number: 503-774-4450
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