MADDISON SOUZA

PORTLAND, OR
NPI1083347389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA221312)
Enumeration Date2022-07-05
Last Update Date2024-07-10
Business Address
MADDISON SOUZA PA-C
11782 SW BARNES RD STE 300
PORTLAND, OR 97225-5933
Phone number: 503-214-5200
Mailing Address
MADDISON SOUZA PA-C
588 LONGMEADOW ST
LONGMEADOW, MA 01106-2212
Phone number: