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1831674985
GERMAN COLLAZO
CLACKAMAS, OR
NPI
1831674985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
GERMAN COLLAZO PA
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-813-2000
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Mailing Address
GERMAN COLLAZO PA
1885 NW QUIMBY ST APT 408
PORTLAND, OR 97209
Phone number: 516-603-4908
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