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1356327464
JAMIE D ST MARK
PORTLAND, OR
NPI
1356327464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OR 099006046CRNA)
Enumeration Date
2005-12-20
Last Update Date
2007-07-08
Business Address
Ms. JAMIE D ST MARK CRNA
3181 SW SAM JACKSON PARK ROAD UHS-2
PORTLAND, OR 97201
Phone number: 503-494-7641
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Mailing Address
Ms. JAMIE D ST MARK CRNA
303 NE 16TH AVE #423
PORTLAND, OR 97232-3088
Phone number: 503-750-6970
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