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1508928714
MARK C DAVIS
PORTLAND, OR
NPI
1508928714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: OR PA01047)
Enumeration Date
2006-12-14
Last Update Date
2007-07-17
Business Address
MARK C DAVIS PA
5050 NE HOYT ST STE 138
PORTLAND, OR 97213-2955
Phone number: 503-238-1061
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Mailing Address
MARK C DAVIS PA
5050 NE HOYT STE 138
PORTLAND, OR 97213
Phone number: 503-238-1061
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