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1811140130
NORTHEAST MEDICAL CONSULTANTS, PC
PORTLAND, OR
NPI
1811140130
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Entity Type
Organization
Authorized Contact
MARTIN J CODINO
President
503-493-9730
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: OR 215193-92)
Enumeration Date
2008-10-30
Last Update Date
2008-11-21
Business Address
NORTHEAST MEDICAL CONSULTANTS, PC
4317 NE TILLAMOOK ST
PORTLAND, OR 97213-1315
Phone number: 503-493-9730
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Mailing Address
NORTHEAST MEDICAL CONSULTANTS, PC
4317 NE TILLAMOOK ST
PORTLAND, OR 97213-1315
Phone number: 503-493-9730
Copy
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