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1255328290
KELLY MAHARA BARTHOLOMEW
PORTLAND, OR
NPI
1255328290
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Former Name
KELLY MAHARA CHARLES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2005-10-04
Last Update Date
2015-05-01
Business Address
-- KELLY MAHARA BARTHOLOMEW PA-C
2226 NW PETTYGROVE
PORTLAND, OR 97210
Phone number: 503-223-6223
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Mailing Address
-- KELLY MAHARA BARTHOLOMEW PA-C
2230 NW PETTYGROVE #210
PORTLAND, OR 97210
Phone number: 503-223-6223
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