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1558960682
ISAAC ANIHILI THELIN
PORTLAND, OR
NPI
1558960682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 202009552NP-PP)
Enumeration Date
2020-10-20
Last Update Date
2020-10-20
Business Address
-- ISAAC ANIHILI THELIN PMHNP-BC
700 NE MULTNOMAH ST STE 275
PORTLAND, OR 97232-4103
Phone number: 503-729-1380
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Mailing Address
-- ISAAC ANIHILI THELIN PMHNP-BC
3331 NE 61ST AVE
PORTLAND, OR 97213-3933
Phone number: 503-896-7112
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