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1740334952
PORTLAND DERMATOLOGY CLINIC, LLP
PORTLAND, OR
NPI
1740334952
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Entity Type
Organization
Authorized Contact
KATE A OTHUS
Administrator
503-445-2133
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OR md18952)
Enumeration Date
2007-01-23
Last Update Date
2010-07-19
Business Address
PORTLAND DERMATOLOGY CLINIC, LLP
1414 NW NORTHRUP ST SUITE 600
PORTLAND, OR 97209-2798
Phone number: 503-223-3104
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Mailing Address
PORTLAND DERMATOLOGY CLINIC, LLP
1414 NW NORTHRUP ST SUITE 600
PORTLAND, OR 97209-2798
Phone number: 503-223-3104
Copy
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