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Individual

DR. GEORGE EDWIN BANKS V

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD # L579, PORTLAND, OR 97239-3011
(503) 494-8652
Mailing address
3734 SW 10TH AVE, PORTLAND, OR 97239-2913
(443) 465-5569

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD201485
OR

Other

Enumeration date
03/20/2016
Last updated
05/05/2021
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