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1730110602
GLENN S RODRIGUEZ
PORTLAND, OR
NPI
1730110602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD16179)
Enumeration Date
2006-07-06
Last Update Date
2012-07-31
Business Address
GLENN S RODRIGUEZ MD
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266-2954
Phone number: 503-215-9850
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Mailing Address
GLENN S RODRIGUEZ MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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