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1770049710
CHARLES GREGORY
PORTLAND, OR
NPI
1770049710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
247000000X Technician, Health Information
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
CHARLES GREGORY
12415 NW HASKELL CT APT 3
PORTLAND, OR 97229-3967
Phone number: 503-764-8881
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Mailing Address
CHARLES GREGORY
12415 NW HASKELL CT APT 3
PORTLAND, OR 97229-3967
Phone number: 503-764-8881
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