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1588796486
ELEANOR ALICE BENECKI
PORTLAND, OR
NPI
1588796486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00311)
Enumeration Date
2007-03-09
Last Update Date
2009-12-14
Business Address
ELEANOR ALICE BENECKI PA
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
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Mailing Address
ELEANOR ALICE BENECKI PA
421 SW OAK ST 210
PORTLAND, OR 97204-1817
Phone number: 503-988-3674
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