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1497104715
DERRICK EVAN HALL
SHERWOOD, OR
NPI
1497104715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD193186)
Enumeration Date
2016-06-07
Last Update Date
2021-03-11
Business Address
DERRICK EVAN HALL MD
16770 SW EDY RD STE 102
SHERWOOD, OR 97140
Phone number: 503-216-9600
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Mailing Address
DERRICK EVAN HALL MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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