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1902200462
THEODORE ALEXANDER TSOUKAS
PORTLAND, OR
NPI
1902200462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: OR PG169761)
Enumeration Date
2014-10-13
Last Update Date
2014-10-13
Business Address
Dr. THEODORE ALEXANDER TSOUKAS M.D.
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Phone number: 971-222-6282
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Mailing Address
Dr. THEODORE ALEXANDER TSOUKAS M.D.
1717 SW PARK AVE APPT 1310
PORTLAND, OR 97201
Phone number: 971-222-6282
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