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1295040905
ROXANNE M PAYNE
PORTLAND, OR
NPI
1295040905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OR 200750084NP)
Enumeration Date
2010-08-18
Last Update Date
2020-10-19
Business Address
ROXANNE M PAYNE FNP
4805 NE GLISAN ST MAIN LEVEL
PORTLAND, OR 97213-2933
Phone number: 503-215-7901
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Mailing Address
ROXANNE M PAYNE FNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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