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1831104330
MICHAEL (BRIAN) BRIAN FENNERTY
PORTLAND, OR
NPI
1831104330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
(Licence: OR MD18698)
Enumeration Date
2006-07-31
Last Update Date
2007-07-10
Business Address
MICHAEL (BRIAN) BRIAN FENNERTY MD
3181 SW SAM JACKSON PARK RD MAIL CODE L461
PORTLAND, OR 97239-3011
Phone number: 503-494-8577
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Mailing Address
MICHAEL (BRIAN) BRIAN FENNERTY MD
3181 SW SAM JACKSON PARK RD OHSU DIVISION OF GASTROENTEROLOGY, MAIL CODE L461
PORTLAND, OR 97239-3011
Phone number:
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