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1457784555
NICHOLAS R BACKOWSKI
PORTLAND, OR
NPI
1457784555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D9941)
Enumeration Date
2013-08-13
Last Update Date
2015-12-28
Business Address
-- NICHOLAS R BACKOWSKI D.M.D.
2038 LLOYD CTR
PORTLAND, OR 97232-1309
Phone number: 503-288-5361
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Mailing Address
-- NICHOLAS R BACKOWSKI D.M.D.
36840 INDUSTRIAL WAY B
SANDY, OR 97055-9254
Phone number: 503-668-1300
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