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1285406017
TABITHA M GHOLI
PORTLAND, OR
NPI
1285406017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR F10230923)
Enumeration Date
2023-10-25
Last Update Date
2023-10-25
Business Address
TABITHA M GHOLI FNP-C
2222 NW LOVEJOY ST STE 505
PORTLAND, OR 97210-5103
Phone number: 971-432-7555
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Mailing Address
TABITHA M GHOLI FNP-C
121 LEONARD ST APT A
LAKE OSWEGO, OR 97034-3953
Phone number: 503-502-4409
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