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1225182306
LORELYN FERNWEH
PORTLAND, OR
NPI
1225182306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA01180)
Enumeration Date
2007-01-23
Last Update Date
2023-03-24
Business Address
LORELYN FERNWEH PA
2180 NE 47TH AVE APT 501
PORTLAND, OR 97213-2093
Phone number: 503-307-1458
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Mailing Address
LORELYN FERNWEH PA
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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