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1710982129
BRYAN DEAN WALLS
PORTLAND, OR
NPI
1710982129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO20625)
Enumeration Date
2005-06-14
Last Update Date
2008-09-18
Business Address
Dr. BRYAN DEAN WALLS D.O.
2306 SE 39TH AVE
PORTLAND, OR 97214-5918
Phone number: 503-963-9181
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Mailing Address
Dr. BRYAN DEAN WALLS D.O.
2306 SE 39TH AVE
PORTLAND, OR 97214-5918
Phone number: 503-963-9181
Copy
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