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1871871186
WILLIAM PERVISKY
PORTLAND, OR
NPI
1871871186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201141329RN)
Enumeration Date
2011-08-03
Last Update Date
2011-08-03
Business Address
Mr. WILLIAM PERVISKY RN
5926 SE 15TH AVE.
PORTLAND, OR 97202
Phone number: 503-458-6463
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Mailing Address
Mr. WILLIAM PERVISKY RN
PO BOX 82104
PORTLAND, OR 97282-0104
Phone number:
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