GENESIS MESA

PORTLAND, OR
NPI1528489903
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  200630448lpn)
Enumeration Date2014-01-02
Last Update Date2014-01-02
Business Address
-- GENESIS MESA lpn
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number: 503-335-9980
Mailing Address
-- GENESIS MESA lpn
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number: 503-335-9980
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