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1407161060
JAIME LYN CASTA MAH
PORTLAND, OR
NPI
1407161060
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Former Name
JAIME LYN CASTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201050201NP)
Enumeration Date
2010-08-06
Last Update Date
2022-12-08
Business Address
Mrs. JAIME LYN CASTA MAH NP-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7551
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Mailing Address
Mrs. JAIME LYN CASTA MAH NP-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7551
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