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1144373200
ALICE GIESECKE JOHNSON
PORTLAND, OR
NPI
1144373200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 089006406N1)
Enumeration Date
2007-01-19
Last Update Date
2009-12-14
Business Address
-- ALICE GIESECKE JOHNSON FNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
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Mailing Address
-- ALICE GIESECKE JOHNSON FNP
421 SW OAK ST 210
PORTLAND, OR 97204-1817
Phone number: 503-988-3674
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