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1255540845
LISA RENEE MERTZ
PORTLAND, OR
NPI
1255540845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 12050)
Enumeration Date
2007-05-21
Last Update Date
2010-02-11
Business Address
Mrs. LISA RENEE MERTZ LMT
2627 NE BROADWAY ST
PORTLAND, OR 97232-1720
Phone number: 503-473-9339
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Mailing Address
Mrs. LISA RENEE MERTZ LMT
2627 NE BROADWAY ST
PORTLAND, OR 97232-1720
Phone number: 503-473-9339
Copy
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