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1225459183
ELYSHA KATHARINA WIEST
PORTLAND, OR
NPI
1225459183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA165833)
Enumeration Date
2013-12-19
Last Update Date
2014-03-10
Business Address
-- ELYSHA KATHARINA WIEST PAC
9155 SW BARNES RD SUITE 440
PORTLAND, OR 97225-6625
Phone number: 503-935-8500
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Mailing Address
-- ELYSHA KATHARINA WIEST PAC
847 NE 19TH AVE SUITE 300
PORTLAND, OR 97232-2684
Phone number: 503-963-2801
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