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1730369513
CASEY NELSON
PORTLAND, OR
NPI
1730369513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D9485)
Additional Taxonomies
122300000X Dentist
(Licence: NV 5769)
Enumeration Date
2007-11-08
Last Update Date
2013-03-25
Business Address
Dr. CASEY NELSON DMD
7417 SW BEAVERTON HILLSDALE HWY STE 700
PORTLAND, OR 97225-2170
Phone number: 503-719-7518
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Mailing Address
Dr. CASEY NELSON DMD
7417 SW BEAVERTON HILLSDALE HWY STE 700
PORTLAND, OR 97225-2170
Phone number: 503-719-7518
Copy
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