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1619034857
VISHAL JAMES MAKKER
PORTLAND, OR
NPI
1619034857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR MD23879)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
Dr. VISHAL JAMES MAKKER m.d
5050 NE HOYT ST 347
PORTLAND, OR 97213-2991
Phone number: 503-808-9001
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Mailing Address
Dr. VISHAL JAMES MAKKER m.d
PO BOX 16130
PORTLAND, OR 97292-0130
Phone number: 503-808-9001
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