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1831385673
FAMILY MEDICAL GROUP NORTHEAST, P.C.
PORTLAND, OR
NPI
1831385673
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Entity Type
Organization
Authorized Contact
KEIRENE ADAMS
Administrator
503-288-0083
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-09-14
Last Update Date
2007-09-14
Business Address
FAMILY MEDICAL GROUP NORTHEAST, P.C.
2647 NE 33RD AVE
PORTLAND, OR 97212-3647
Phone number: 503-288-0083
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Mailing Address
FAMILY MEDICAL GROUP NORTHEAST, P.C.
2647 NE 33RD AVE
PORTLAND, OR 97212-3647
Phone number: 503-288-0083
Copy
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