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1114680956
STEPHANIE NICOLE WHITE
PORTLAND, OR
NPI
1114680956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA207934)
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
STEPHANIE NICOLE WHITE PA-C
501 N GRAHAM ST STE 415
PORTLAND, OR 97227-2006
Phone number: 503-413-3580
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Mailing Address
STEPHANIE NICOLE WHITE PA-C
501 N GRAHAM ST STE 415
PORTLAND, OR 97227-2006
Phone number: 503-413-3580
Copy
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