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1093495632
JASON THOMAS SUMMERLIN
SALEM, OR
NPI
1093495632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR PA216592)
Enumeration Date
2023-07-19
Last Update Date
2023-08-21
Business Address
JASON THOMAS SUMMERLIN PA
255 LANCASTER DR NE
SALEM, OR 97301-5155
Phone number: 503-576-8400
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Mailing Address
JASON THOMAS SUMMERLIN PA
255 LANCASTER DR NE
SALEM, OR 97301-5155
Phone number: 503-576-8400
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