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1346799632
TYRELL JAGELSKI
NEWBERG, OR
NPI
1346799632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA190255)
Enumeration Date
2016-09-27
Last Update Date
2020-10-20
Business Address
TYRELL JAGELSKI PA-C
1003 PROVIDENCE DR STE 110
NEWBERG, OR 97132-7521
Phone number: 503-537-5900
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Mailing Address
TYRELL JAGELSKI PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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