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1417594664
BRIANNA ELIZABETH-O'MARA COSTELLO
PORTLAND, OR
NPI
1417594664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA196976)
Enumeration Date
2019-12-06
Last Update Date
2021-10-04
Business Address
BRIANNA ELIZABETH-O'MARA COSTELLO PA-C
3303 S BOND AVE
PORTLAND, OR 97239-4501
Phone number: 503-494-8573
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Mailing Address
BRIANNA ELIZABETH-O'MARA COSTELLO PA-C
3303 S BOND AVE
PORTLAND, OR 97239-4501
Phone number: 503-494-8573
Copy
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