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1760006118
LAURA ELIZABETH BENNETTS
PORTLAND, OR
NPI
1760006118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD216412)
Enumeration Date
2020-06-02
Last Update Date
2023-10-27
Business Address
LAURA ELIZABETH BENNETTS MD
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-2392
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Mailing Address
LAURA ELIZABETH BENNETTS MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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