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1417148529
LISA MARIE STORM
PORTLAND, OR
NPI
1417148529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 087000379NI)
Enumeration Date
2007-08-05
Last Update Date
2007-08-05
Business Address
-- LISA MARIE STORM FNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3056
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Mailing Address
-- LISA MARIE STORM FNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3056
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