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1144422965
DEBRA LEE MANDELBLATT
PORTLAND, OR
NPI
1144422965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA00526)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
Ms. DEBRA LEE MANDELBLATT PA
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
Ms. DEBRA LEE MANDELBLATT PA
5606 SE ASH ST
PORTLAND, OR 97215-1249
Phone number: 503-234-2725
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