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1700042090
MARK DOUGLAS SMITH
PORTLAND, OR
NPI
1700042090
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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
2008-08-06
Last Update Date
2008-08-06
Business Address
Dr. MARK DOUGLAS SMITH M.D.
1040 NW 22ND AVE SUITE 500
PORTLAND, OR 97210-3057
Phone number: 503-227-5050
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Mailing Address
Dr. MARK DOUGLAS SMITH M.D.
1040 NW 22ND AVE SUITE 500
PORTLAND, OR 97210-3057
Phone number:
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