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1023029725
LISA DIANE WATTS
PORTLAND, OR
NPI
1023029725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO21895)
Enumeration Date
2006-08-10
Last Update Date
2024-09-23
Business Address
MS. LISA DIANE WATTS DO
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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Mailing Address
MS. LISA DIANE WATTS DO
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
Copy
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