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1831291319
JAY CARL GOLDSTEIN
PORTLAND, OR
NPI
1831291319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: OR dp00107)
Enumeration Date
2006-09-03
Last Update Date
2010-10-25
Business Address
Dr. JAY CARL GOLDSTEIN D.P.M.
2222 NW LOVEJOY ST #510
PORTLAND, OR 97210-3033
Phone number: 503-221-1581
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Mailing Address
Dr. JAY CARL GOLDSTEIN D.P.M.
2222 NW LOVEJOY ST #510
PORTLAND, OR 97210-3033
Phone number: 503-221-1581
Copy
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