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1093404477
SAMANTHA WELLER
PORTLAND, OR
NPI
1093404477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR PG216051)
Enumeration Date
2023-05-02
Last Update Date
2023-07-25
Business Address
SAMANTHA WELLER
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
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Mailing Address
SAMANTHA WELLER
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
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