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1316222136
JONATHAN ROSEN SOFFER
PORTLAND, OR
NPI
1316222136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 201150147NP)
Enumeration Date
2011-10-12
Last Update Date
2021-05-24
Business Address
JONATHAN ROSEN SOFFER NP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8562
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Mailing Address
JONATHAN ROSEN SOFFER NP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8562
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