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1750396255
SUZANNE GWEN WATNICK
PORTLAND, OR
NPI
1750396255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: OR MD23936)
Enumeration Date
2006-07-31
Last Update Date
2007-07-10
Business Address
SUZANNE GWEN WATNICK MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-3442
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Mailing Address
SUZANNE GWEN WATNICK MD
3710 SW US VETERANS HOSPITAL RD P3NEPH
PORTLAND, OR 97239-2964
Phone number:
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