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1760428981
CENTER FOR ENVIRONMENTAL MEDICINE, LLP
PORTLAND, OR
NPI
1760428981
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Entity Type
Organization
Authorized Contact
JOHN T WADE
Office Manager
503-261-0966
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD20138)
Enumeration Date
2006-06-22
Last Update Date
2007-12-26
Business Address
CENTER FOR ENVIRONMENTAL MEDICINE, LLP
10748 NE HALSEY ST
PORTLAND, OR 97220-3961
Phone number: 503-261-0966
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Mailing Address
CENTER FOR ENVIRONMENTAL MEDICINE, LLP
10748 NE HALSEY ST
PORTLAND, OR 97220-3961
Phone number: 503-261-0966
Copy
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