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1972004455
DERMATOLOGY BY DESIGN LLC
PORTLAND, OR
NPI
1972004455
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Entity Type
Organization
Authorized Contact
OMAR QUTUB
Owner
503-705-2331
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: OR MD158125)
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
DERMATOLOGY BY DESIGN LLC
1129 NW 11TH AVE
PORTLAND, OR 97209-3469
Phone number: 503-705-2331
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Mailing Address
DERMATOLOGY BY DESIGN LLC
949 NW OVERTON ST UNIT 608
PORTLAND, OR 97209-3270
Phone number: 503-705-2331
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