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1962488585
RUSSEL DONNAN SMITH
PORTLAND, OR
NPI
1962488585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO 2005012199)
Enumeration Date
2005-12-15
Last Update Date
2015-03-23
Business Address
-- RUSSEL DONNAN SMITH MD
3567 NE TILLAMOOK ST
PORTLAND, OR 97212-5158
Phone number: 773-810-9072
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Mailing Address
-- RUSSEL DONNAN SMITH MD
3567 NE TILLAMOOK ST
PORTLAND, OR 97212-5158
Phone number: 773-810-9072
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