BARRY A JACOSHENK

PORTLAND, OR
NPI1376600049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA00938)
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
-- BARRY A JACOSHENK PA-C
1515 NW 18TH AVE SUITE 300
PORTLAND, OR 97209-2516
Phone number: 503-224-8399
Mailing Address
-- BARRY A JACOSHENK PA-C
1515 NW 18TH AVE SUITE 300
PORTLAND, OR 97209-2516
Phone number: 503-224-8399
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