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1548800097
KATIE LYNN MENCOS
PORTLAND, OR
NPI
1548800097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA196074)
Enumeration Date
2020-01-13
Last Update Date
2023-06-09
Business Address
KATIE LYNN MENCOS PA-C, MSPAS
5050 NE HOYT ST STE 240
PORTLAND, OR 97213-2981
Phone number: 503-215-6480
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Mailing Address
KATIE LYNN MENCOS PA-C, MSPAS
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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