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1538842208
EVERNORTH CARE PROVIDERS ARIZONA PC
PORTLAND, OR
NPI
1538842208
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Entity Type
Organization
Authorized Contact
GRACE BLUE
Credentialing Sr. Manager
773-292-4800
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
EVERNORTH CARE PROVIDERS ARIZONA PC
121 SW MORRISON ST STE 525
PORTLAND, OR 97204-3247
Phone number: 773-292-4800
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Mailing Address
EVERNORTH CARE PROVIDERS ARIZONA PC
730 COOL SPRINGS BLVD STE 500
FRANKLIN, TN 37067-7331
Phone number: 773-292-4800
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