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1508580119
BENEDICT MARK M BUNAL
PORTLAND, OR
NPI
1508580119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202215281NP-PP)
Enumeration Date
2022-09-27
Last Update Date
2022-09-27
Business Address
Mr. BENEDICT MARK M BUNAL NP
18633 SE STARK ST STE 401
PORTLAND, OR 97233-5468
Phone number: 503-489-1760
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Mailing Address
Mr. BENEDICT MARK M BUNAL NP
12045 SE 5TH ST
VANCOUVER, WA 98683-5214
Phone number: 904-763-6796
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