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1861770190
JEFFREY OWEN PENTECOST
PORTLAND, OR
NPI
1861770190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: OR DO16894)
Enumeration Date
2011-08-03
Last Update Date
2011-08-03
Business Address
Dr. JEFFREY OWEN PENTECOST D.O.
3574 SE HAROLD CT
PORTLAND, OR 97202-4344
Phone number: 503-280-1621
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Mailing Address
Dr. JEFFREY OWEN PENTECOST D.O.
3574 SE HAROLD CT
PORTLAND, OR 97202-4344
Phone number:
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