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1962599910
GROVER CARLTON BAGBY
PORTLAND, OR
NPI
1962599910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0000X Internal Medicine, Hematology
(Licence: OR MD07879)
Enumeration Date
2006-10-09
Last Update Date
2009-01-29
Business Address
Dr. GROVER CARLTON BAGBY MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6594
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Mailing Address
Dr. GROVER CARLTON BAGBY MD
3738 SW COUNCIL CREST DR
PORTLAND, OR 97239-1522
Phone number: 503-248-9216
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