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1285966002
JOHANNAH LUTZ
PORTLAND, OR
NPI
1285966002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA159810)
Enumeration Date
2010-02-03
Last Update Date
2020-10-19
Business Address
JOHANNAH LUTZ PA-C
202 NW 13TH AVE
PORTLAND, OR 97209-2953
Phone number: 503-684-8252
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Mailing Address
JOHANNAH LUTZ PA-C
19075 NW TANASBOURNE DR STE 200
HILLSBORO, OR 97124-5860
Phone number: 503-684-8252
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