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1871593491
GREGG O COODLEY
PORTLAND, OR
NPI
1871593491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD16827)
Enumeration Date
2005-07-26
Last Update Date
2007-10-16
Business Address
-- GREGG O COODLEY MD
2400 SW VERMONT ST
PORTLAND, OR 97219-1940
Phone number: 503-452-0915
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Mailing Address
-- GREGG O COODLEY MD
2400 SW VERMONT ST
PORTLAND, OR 97219-1940
Phone number: 503-452-0915
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