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1881445104
MICHAEL DEA
PORTLAND, OR
NPI
1881445104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-27
Last Update Date
2024-04-11
Business Address
MICHAEL DEA DO
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239-3011
Phone number: 503-494-8652
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Mailing Address
MICHAEL DEA DO
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239-3011
Phone number:
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