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1952102923
MORITZ JONATHAN LANGE
PORTLAND, OR
NPI
1952102923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2025-03-24
Last Update Date
2025-03-24
Business Address
MORITZ JONATHAN LANGE MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8311
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Mailing Address
MORITZ JONATHAN LANGE MD
100B SUNSET AVE
CHARLOTTESVILLE, VA 22903-3624
Phone number: 509-339-4817
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