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1578234597
PRISCILLA DESVERGUNAT
PORTLAND, OR
NPI
1578234597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR 202109745NP)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
Mrs. PRISCILLA DESVERGUNAT NP
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-276-9300
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Mailing Address
Mrs. PRISCILLA DESVERGUNAT NP
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-276-9300
Copy
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