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1467144568
TERRA ELISE D'ANTONIO DUDLEY
PORTLAND, OR
NPI
1467144568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: OR 10008920)
Enumeration Date
2023-05-25
Last Update Date
2023-10-27
Business Address
TERRA ELISE D'ANTONIO DUDLEY WHCNP
9135 SW BARNES RD STE 761
PORTLAND, OR 97225-6777
Phone number: 503-216-2602
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Mailing Address
TERRA ELISE D'ANTONIO DUDLEY WHCNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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