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1083347389
MADDISON SOUZA
PORTLAND, OR
NPI
1083347389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA221312)
Enumeration Date
2022-07-05
Last Update Date
2024-07-10
Business Address
MADDISON SOUZA PA-C
11782 SW BARNES RD STE 300
PORTLAND, OR 97225-5933
Phone number: 503-214-5200
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Mailing Address
MADDISON SOUZA PA-C
588 LONGMEADOW ST
LONGMEADOW, MA 01106-2212
Phone number:
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