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Individual

JOHN MULLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
PO BOX 10124, PORTLAND, OR 97296-0124
(503) 652-2880

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD20837
OR

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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