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Family Medicine Physician

NPI: 1033143748Organization

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

ORDO11884(OR)

Contact & Hours

Address: 4130 SE DIVISION STREET
PORTLAND, OR 97202
Phone: (503) 239-5836

Quick Facts

NPI: 1033143748
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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