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1710167689
LAKE OSWEGO DERMATOLOGY GROUP, PC
LAKE OSWEGO, OR
NPI
1710167689
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Entity Type
Organization
Authorized Contact
RITA SHIGETA
Office Manager
503-635-9221
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2007-11-08
Last Update Date
2010-02-03
Business Address
LAKE OSWEGO DERMATOLOGY GROUP, PC
17704 JEAN WAY SUITE 102
LAKE OSWEGO, OR 97035-5497
Phone number: 503-635-9221
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Mailing Address
LAKE OSWEGO DERMATOLOGY GROUP, PC
17704 JEAN WAY SUITE 102
LAKE OSWEGO, OR 97035-5497
Phone number: 503-635-9221
Copy
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