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1174883102
BRANDY SHAY PESTKA
PORTLAND, OR
NPI
1174883102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2012-05-23
Last Update Date
2015-01-21
Business Address
-- BRANDY SHAY PESTKA
5555 N CHANNEL AVE BLD. 72
PORTLAND, OR 97217-7655
Phone number: 503-228-0295
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Mailing Address
-- BRANDY SHAY PESTKA
5555 N CHANNEL AVE BLD. 72
PORTLAND, OR 97217-7655
Phone number: 503-228-0295
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