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1497729321
MICHAEL ROSS TANGUM
PORTLAND, OR
NPI
1497729321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD21239)
Enumeration Date
2006-02-15
Last Update Date
2011-09-06
Business Address
Dr. MICHAEL ROSS TANGUM M.D.
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-7711
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Mailing Address
Dr. MICHAEL ROSS TANGUM M.D.
3566 NE ALAMEDA ST
PORTLAND, OR 97212-1808
Phone number: 503-282-7871
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