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1134504103
ROSS ALAN VANNORMAN
PORTLAND, OR
NPI
1134504103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA172769)
Enumeration Date
2015-07-20
Last Update Date
2015-09-21
Business Address
-- ROSS ALAN VANNORMAN PAC
1111 NE 99TH AVE
PORTLAND, OR 97220-9428
Phone number: 503-963-3030
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Mailing Address
-- ROSS ALAN VANNORMAN PAC
847 NE 19TH AVE SUITE 300
PORTLAND, OR 97232-2684
Phone number: 503-963-2801
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