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1659516177
INGE ALEXANDRA DE WEILLE
PORTLAND, OR
NPI
1659516177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR LL17865)
Enumeration Date
2008-12-12
Last Update Date
2008-12-12
Business Address
-- INGE ALEXANDRA DE WEILLE M.D.
3181 SW SAM JACKSON PARK RD OREGON HEALTH & SCIENCE UNIVERSITY
PORTLAND, OR 97239-3098
Phone number: 503-494-8144
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Mailing Address
-- INGE ALEXANDRA DE WEILLE M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8144
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