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1992256762
SUZANNE BERNARD
PORTLAND, OR
NPI
1992256762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
(Licence: OR L5638)
Enumeration Date
2016-10-17
Last Update Date
2016-10-17
Business Address
-- SUZANNE BERNARD
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-853-9789
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Mailing Address
-- SUZANNE BERNARD
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-853-9789
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