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1699528588
ANDREW WELLMAN COSTA
PORTLAND, OR
NPI
1699528588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
Dr. ANDREW WELLMAN COSTA DO
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
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Mailing Address
Dr. ANDREW WELLMAN COSTA DO
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
Copy
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