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1861520991
MTN. VIEW FAMILY PRACTICE, PC
GRESHAM, OR
NPI
1861520991
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Entity Type
Organization
Authorized Contact
PAUL V PODETT
President
503-665-1010
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD18120)
Enumeration Date
2007-03-01
Last Update Date
2014-03-25
Business Address
MTN. VIEW FAMILY PRACTICE, PC
24900 SE STARK ST SUITE 205
GRESHAM, OR 97030-3355
Phone number: 503-665-1010
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Mailing Address
MTN. VIEW FAMILY PRACTICE, PC
24900 SE STARK ST SUITE 205
GRESHAM, OR 97030-3355
Phone number: 503-665-1010
Copy
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