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1164533923
KAROL LEE KOCHSMEIER
PORTLAND, OR
NPI
1164533923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA00372)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- KAROL LEE KOCHSMEIER physician assistant
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone number: 503-669-3900
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Mailing Address
-- KAROL LEE KOCHSMEIER physician assistant
7033 NE EVERETT ST
PORTLAND, OR 97213-5631
Phone number: 503-288-1043
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