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1811639404
GWENDOLYN ROSE DERK
PORTLAND, OR
NPI
1811639404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
GWENDOLYN ROSE DERK
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-681-1700
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Mailing Address
GWENDOLYN ROSE DERK
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-681-1700
Copy
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