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1437133261
JENNIFER LEE MAESTAS
PORTLAND, OR
NPI
1437133261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA153569)
Enumeration Date
2005-12-05
Last Update Date
2022-01-07
Business Address
JENNIFER LEE MAESTAS PA-C
5050 NE HOYT ST STE 138
PORTLAND, OR 97213-2955
Phone number: 503-238-1061
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Mailing Address
JENNIFER LEE MAESTAS PA-C
847 NE 19TH AVE STE 300
PORTLAND, OR 97232-2686
Phone number: 503-963-2801
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