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1942689930
JACOB P CASEY
PORTLAND, OR
NPI
1942689930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD189221)
Enumeration Date
2015-05-22
Last Update Date
2021-02-18
Business Address
JACOB P CASEY MD
4805 NE GLISAN ST STE BG05
PORTLAND, OR 97213
Phone number: 503-215-2392
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Mailing Address
JACOB P CASEY MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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