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1578565339
LEON QUINTON COLBURN
PORTLAND, OR
NPI
1578565339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00171)
Enumeration Date
2005-08-11
Last Update Date
2013-10-03
Business Address
-- LEON QUINTON COLBURN PA
10000 SE MAIN ST SUITE 365
PORTLAND, OR 97216-2448
Phone number: 503-261-4430
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Mailing Address
-- LEON QUINTON COLBURN PA
PO BOX 92900
PORTLAND, OR 97292-0900
Phone number: 503-261-4430
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