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1649812207
BRENDA DAVIS IRVINE
PORTLAND, OR
NPI
1649812207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 078041248)
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
BRENDA DAVIS IRVINE RN, IBCLC
1304 SE 58TH AVE
PORTLAND, OR 97215-2728
Phone number: 503-701-1180
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Mailing Address
BRENDA DAVIS IRVINE RN, IBCLC
1304 SE 58TH AVE
PORTLAND, OR 97215-2728
Phone number: 503-701-1180
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