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1679233498
ETHAN WALN
SALEM, OR
NPI
1679233498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-12-20
Last Update Date
2021-12-20
Business Address
ETHAN WALN RN
890 OAK ST SE
SALEM, OR 97301-3905
Phone number: 503-814-5110
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Mailing Address
ETHAN WALN RN
1043 NE 77TH AVE
PORTLAND, OR 97213-6868
Phone number: 541-962-5221
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