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1891434528
PPM OREGON LLC
PORTLAND, OR
NPI
1891434528
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Entity Type
Organization
Authorized Contact
LEE JOHNSON
Treasurer
208-401-1369
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
PPM OREGON LLC
7515 NE AMBASSADOR PL STE C
PORTLAND, OR 97220-1379
Phone number: 888-253-6598
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Mailing Address
PPM OREGON LLC
1675 E RIVERSIDE DR STE 200
EAGLE, ID 83616-7473
Phone number:
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