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1487647954
MICHAEL P. JACZKO
NEWBERG, OR
NPI
1487647954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO20026)
Enumeration Date
2005-08-30
Last Update Date
2021-03-18
Business Address
MICHAEL P. JACZKO DO
1000 N PROVIDENCE DR STE 210
NEWBERG, OR 97132-7582
Phone number: 503-537-5900
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Mailing Address
MICHAEL P. JACZKO DO
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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