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1750806964
ALEX KWAK
PORTLAND, OR
NPI
1750806964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OR 201705197RN)
Enumeration Date
2017-08-08
Last Update Date
2017-08-08
Business Address
ALEX KWAK RN
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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Mailing Address
ALEX KWAK RN
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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