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1730154410
THEODORE H. DE LOOZE
PORTLAND, OR
NPI
1730154410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OR MD12883)
Enumeration Date
2006-02-17
Last Update Date
2013-09-09
Business Address
DR. THEODORE H. DE LOOZE MD
707 SW WASHINGTON ST SUITE 700
PORTLAND, OR 97205-3536
Phone number: 503-299-9906
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Mailing Address
DR. THEODORE H. DE LOOZE MD
PO BOX 2040
PORTLAND, OR 97208-2040
Phone number: 503-299-9906
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