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1740234996
DEREK S HALVORSON
VANCOUVER, WA
NPI
1740234996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WA MD00043686)
Enumeration Date
2006-05-20
Last Update Date
2007-12-06
Business Address
-- DEREK S HALVORSON MD
600 NE 92ND AVE
VANCOUVER, WA 98664-3225
Phone number: 360-514-2142
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Mailing Address
-- DEREK S HALVORSON MD
PO BOX 5037 UNIT 282
PORTLAND, OR 97208-5037
Phone number: 360-514-2142
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