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1659467116
EUSTACIA SU
PORTLAND, OR
NPI
1659467116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD13951)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- EUSTACIA SU M.D.
3181 SW SAM JACKSON PARK RD CDW-EM
PORTLAND, OR 97239-2983
Phone number: 503-494-7500
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Mailing Address
-- EUSTACIA SU M.D.
3181 SW SAM JACKSON PARK RD CDW-EM
PORTLAND, OR 97239-2983
Phone number: 503-494-7500
Copy
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