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1275803462
TARA PEMBERTON
PORTLAND, OR
NPI
1275803462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2012-01-05
Last Update Date
2015-08-20
Business Address
-- TARA PEMBERTON PA-C
9495 SW LOCUST ST SUITE A & E
PORTLAND, OR 97223-6683
Phone number: 503-505-5937
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Mailing Address
-- TARA PEMBERTON PA-C
9495SWLOCUST ST A
PORTLAND, OR 97223-6683
Phone number: 503-636-9011
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