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1023568649
SALLY JO NIEDERMEYER
PORTLAND, OR
NPI
1023568649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: OR 080045857RN)
Enumeration Date
2016-10-06
Last Update Date
2016-10-06
Business Address
-- SALLY JO NIEDERMEYER RN
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213-3052
Phone number: 503-215-3081
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Mailing Address
-- SALLY JO NIEDERMEYER RN
PO BOX 404
GOVERNMENT CAMP, OR 97028-0404
Phone number: 503-505-4627
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