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1790066751
WESAM A NASRALLAH
PORTLAND, OR
NPI
1790066751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OR FE175723)
Enumeration Date
2011-09-05
Last Update Date
2016-07-20
Business Address
-- WESAM A NASRALLAH M.D,
3181 SW SAM JACKSON PARK RD MAIL CODE OP31
PORTLAND, OR 97239-3011
Phone number: 503-494-6404
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Mailing Address
-- WESAM A NASRALLAH M.D,
3181 SW SAM JACKSON PARK RD MAIL CODE OP31
PORTLAND, OR 97239-3011
Phone number: 503-494-6404
Copy
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