JEAN-LUC LOUIS GUSTIN

BEAVERTON, OR
NPI1083727507
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA00309)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
Mr. JEAN-LUC LOUIS GUSTIN PA
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-643-7565
Mailing Address
Mr. JEAN-LUC LOUIS GUSTIN PA
14481 S BUCKNER CREEK RD
MULINO, OR 97042-9626
Phone number: 503-632-7135
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