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1407862964
LISA ANNE EGAN
PORTLAND, OR
NPI
1407862964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA00569)
Enumeration Date
2006-08-01
Last Update Date
2021-02-17
Business Address
LISA ANNE EGAN PA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-4500
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Mailing Address
LISA ANNE EGAN PA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-4500
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