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1770286718
SHADI DANIEL MATTAR
PORTLAND, OR
NPI
1770286718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
-- SHADI DANIEL MATTAR DPM
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-8401
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Mailing Address
-- SHADI DANIEL MATTAR DPM
15820 36TH AVE SE
BOTHELL, WA 98012-4749
Phone number: 425-877-4677
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