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1316501778
CHAVA SANDOVAL
PORTLAND, OR
NPI
1316501778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR 194638)
Enumeration Date
2019-04-30
Last Update Date
2020-02-17
Business Address
CHAVA SANDOVAL PA-C
5050 NE HOYT ST STE 610
PORTLAND, OR 97213-2985
Phone number: 503-467-4761
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Mailing Address
CHAVA SANDOVAL PA-C
PO BOX 622
HALFWAY, OR 97834-0622
Phone number:
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