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1285856005
ROSE MARIE TYSON
PORTLAND, OR
NPI
1285856005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: OR 090000307N3 ANP-PP)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
MRS. ROSE MARIE TYSON RN, ANP
3181 SW SAM JACKSON PARK RD L-603
PORTLAND, OR 97239-3011
Phone number: 503-494-5626
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Mailing Address
MRS. ROSE MARIE TYSON RN, ANP
3181 SW SAM JACKSON PARK RD L-603
PORTLAND, OR 97239-3011
Phone number: 503-494-5626
Copy
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