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1457837403
MILES S BENNETT
PORTLAND, OR
NPI
1457837403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
Mr. MILES S BENNETT CPO
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
Mr. MILES S BENNETT CPO
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Copy
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