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1295987261
NICOLE L CONGER
PORTLAND, OR
NPI
1295987261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA185524)
Enumeration Date
2008-10-21
Last Update Date
2018-06-28
Business Address
Ms. NICOLE L CONGER P.A.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Phone number: 503-494-7500
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Mailing Address
Ms. NICOLE L CONGER P.A.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7500
Copy
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