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1871252460
SAMUEL STEPHEN COSGROVE
PORTLAND, OR
NPI
1871252460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202109917NP-PP)
Enumeration Date
2021-12-11
Last Update Date
2021-12-11
Business Address
SAMUEL STEPHEN COSGROVE NP
6130 NE 78TH CT
PORTLAND, OR 97218-2853
Phone number: 503-595-2260
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Mailing Address
SAMUEL STEPHEN COSGROVE NP
6130 NE 78TH CT
PORTLAND, OR 97218-2853
Phone number:
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