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1629010087
KEVIN G SEMONSEN
PORTLAND, OR
NPI
1629010087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OR MD16798)
Enumeration Date
2006-06-11
Last Update Date
2011-11-16
Business Address
-- KEVIN G SEMONSEN MD
1015 NW 22ND AVE STE T240
PORTLAND, OR 97210-3025
Phone number: 503-413-7127
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Mailing Address
-- KEVIN G SEMONSEN MD
PO BOX 3730 #DINW103
PORTLAND, OR 97208-3730
Phone number: 800-878-6698
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