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1205463312
ANDREA LEIGH HUXTABLE
PORTLAND, OR
NPI
1205463312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA202788)
Enumeration Date
2020-03-26
Last Update Date
2021-11-19
Business Address
ANDREA LEIGH HUXTABLE PAC
2222 NW LOVEJOY ST STE 622
PORTLAND, OR 97210-5104
Phone number: 503-229-8455
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Mailing Address
ANDREA LEIGH HUXTABLE PAC
847 NE 19TH AVE STE 300
PORTLAND, OR 97232-2686
Phone number: 503-963-2801
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