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1528295557
AJAY WANCHU
PORTLAND, OR
NPI
1528295557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: OR MD160711)
Enumeration Date
2009-06-17
Last Update Date
2018-03-17
Business Address
Dr. AJAY WANCHU MD
10101 SE MAIN ST STE 2011
PORTLAND, OR 97216-2457
Phone number: 503-261-6912
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Mailing Address
Dr. AJAY WANCHU MD
10101 SE MAIN ST STE 2011
PORTLAND, OR 97216-2457
Phone number: 503-261-6912
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