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1528074846
LISA A BAILEY
PORTLAND, OR
NPI
1528074846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA01129)
Enumeration Date
2006-07-31
Last Update Date
2018-03-16
Business Address
Ms. LISA A BAILEY P.A.-C
1040 NW 22ND AVE SUITE 520
PORTLAND, OR 97210-3057
Phone number: 503-413-7557
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Mailing Address
Ms. LISA A BAILEY P.A.-C
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210-3097
Phone number: 503-413-7557
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