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1801011630
VIKING MEDICAL PRACTICE PC
PORTLAND, OR
NPI
1801011630
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Entity Type
Organization
Authorized Contact
JOHN THOMAS HOGGARD
President
503-297-8751
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR 8489)
Enumeration Date
2007-04-16
Last Update Date
2020-08-22
Business Address
VIKING MEDICAL PRACTICE PC
5560 SW HEWETT BLVD
PORTLAND, OR 97221-2239
Phone number: 503-297-8751
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Mailing Address
VIKING MEDICAL PRACTICE PC
5560 SW HEWETT BLVD
PORTLAND, OR 97221-2239
Phone number: 503-297-8751
Copy
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