MARK KENNETH WAX

PORTLAND, OR
NPI1912912429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: OR  MD21318)
Enumeration Date2006-07-31
Last Update Date2007-07-17
Business Address
-- MARK KENNETH WAX MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-5674
Mailing Address
-- MARK KENNETH WAX MD
3181 SW SAM JACKSON PARK RD # 01
PORTLAND, OR 97239-3098
Phone number:
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