Individual
SETH O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE L579, PORTLAND, OR 97239-3011
(503) 494-8652
Mailing address
2595 SW 87TH AVE, PORTLAND, OR 97225-4007
(503) 384-0173
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
41322
OR
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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