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1902950645
DANIEL JAMES SISCO
PORTLAND, OR
NPI
1902950645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: OR 000536)
Enumeration Date
2007-01-22
Last Update Date
2007-07-09
Business Address
Dr. DANIEL JAMES SISCO N.D.
3351 NE BROADWAY ST
PORTLAND, OR 97232-1816
Phone number: 503-282-9222
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Mailing Address
Dr. DANIEL JAMES SISCO N.D.
3351 NE BROADWAY ST
PORTLAND, OR 97232-1816
Phone number: 503-282-9222
Copy
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