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1871577742
SUSANNE K BOBENRIETH
PORTLAND, OR
NPI
1871577742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD23038)
Enumeration Date
2005-12-02
Last Update Date
2021-02-15
Business Address
SUSANNE K BOBENRIETH M.D.
1321 NE 99TH AVE SUITE 200
PORTLAND, OR 97220-9436
Phone number: 503-215-4250
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Mailing Address
SUSANNE K BOBENRIETH M.D.
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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