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1578184511
THATCHER S HOULDIN
PORTLAND, OR
NPI
1578184511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD216720)
Enumeration Date
2020-04-30
Last Update Date
2023-10-27
Business Address
THATCHER S HOULDIN MD
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-2392
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Mailing Address
THATCHER S HOULDIN MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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