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1982649299
SOUTH TABOR FAMILY PHYSICIANS
PORTLAND, OR
NPI
1982649299
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Entity Type
Organization
Authorized Contact
LONDA EVERETT
Administrator
503-261-7200
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: OR 262417)
Enumeration Date
2006-06-19
Last Update Date
2012-10-03
Business Address
SOUTH TABOR FAMILY PHYSICIANS
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216-3107
Phone number: 503-261-7200
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Mailing Address
SOUTH TABOR FAMILY PHYSICIANS
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216-3107
Phone number: 503-261-7200
Copy
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