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Individual

DR. THERESA A LANGDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
181 NE 102ND AVE, PORTLAND, OR 97220-4169
(503) 230-4811
(503) 249-1872
Mailing address
181 NE 102ND AVE, PORTLAND, OR 97220-4169
(503) 230-4811
(503) 249-1872

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15241
OR

Other

Enumeration date
07/09/2007
Last updated
07/09/2007
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