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1659363331
KAREN H LICKTEIG
PORTLAND, OR
NPI
1659363331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OR MD21058)
Enumeration Date
2005-08-18
Last Update Date
2007-07-08
Business Address
-- KAREN H LICKTEIG MD
1130 NW 22ND AVE STE 320
PORTLAND, OR 97210-2900
Phone number: 503-295-2546
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Mailing Address
-- KAREN H LICKTEIG MD
1960 NW 167TH PL STE 200
BEAVERTON, OR 97006-4803
Phone number: 503-531-2594
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