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1154082022
KATHERINE VESTAKIS
GRESHAM, OR
NPI
1154082022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA217362)
Enumeration Date
2022-01-04
Last Update Date
2024-05-06
Business Address
KATHERINE VESTAKIS
24988 SE STARK ST STE 220
GRESHAM, OR 97030-8324
Phone number: 503-674-1580
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Mailing Address
KATHERINE VESTAKIS
PO BOX 4365
PORTLAND, OR 97208-4365
Phone number: 503-413-3900
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