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1114479458
ANNA LEE
GRESHAM, OR
NPI
1114479458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA179891)
Enumeration Date
2016-11-03
Last Update Date
2024-11-11
Business Address
ANNA LEE PAC
24076 SE STARK ST SUITE 230
GRESHAM, OR 97030-3373
Phone number: 503-488-2600
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Mailing Address
ANNA LEE PAC
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801
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