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1740296201
MICHAEL ABRAHAM WALL
PORTLAND, OR
NPI
1740296201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0214X Pediatrics Pediatric Pulmonology
(Licence: OR MD11411)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
MICHAEL ABRAHAM WALL MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5747
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Mailing Address
MICHAEL ABRAHAM WALL MD
4039 SW COUNCIL CREST DR
PORTLAND, OR 97239-1527
Phone number:
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