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1538277595
KENNETH GEORGE LIE
CLACKAMAS, OR
NPI
1538277595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OR MD24371)
Enumeration Date
2006-08-29
Last Update Date
2021-05-04
Business Address
KENNETH GEORGE LIE MD
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
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Mailing Address
KENNETH GEORGE LIE MD
13845 SE MOUNTAIN CREST DR
PORTLAND, OR 97086-6751
Phone number:
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