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1558604611
BROOK BIRCHARD
PORTLAND, OR
NPI
1558604611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA169892)
Enumeration Date
2013-03-27
Last Update Date
2021-03-02
Business Address
BROOK BIRCHARD
8935 SE POWELL BLVD
PORTLAND, OR 97266-1938
Phone number: 503-772-4335
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Mailing Address
BROOK BIRCHARD
PO BOX 190
TOPPENISH, WA 98948-0190
Phone number: 509-865-2395
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