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1720525751
ANDREW DIAZ
PORTLAND, OR
NPI
1720525751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR 238748290)
Enumeration Date
2017-01-29
Last Update Date
2017-01-29
Business Address
-- ANDREW DIAZ
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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Mailing Address
-- ANDREW DIAZ
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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