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PORTLAND, OR
NPI1487425260
Entity TypeOrganization
Authorized ContactINGEBORG HINDEL
Owner
971-227-0560
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2024-01-11
Last Update Date2024-02-05
Business Address
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2230 NW PETTYGROVE ST STE 110
PORTLAND, OR 97210-2659
Phone number: 971-227-0560
Mailing Address
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3056 NE OREGON ST
PORTLAND, OR 97232-2450
Phone number:
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