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1598129496
AMANDA ST JOHN
PORTLAND, OR
NPI
1598129496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201602229NP-PP)
Enumeration Date
2016-04-07
Last Update Date
2016-04-07
Business Address
-- AMANDA ST JOHN
3164 NE 35TH PL
PORTLAND, OR 97212-2728
Phone number: 208-249-5516
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Mailing Address
-- AMANDA ST JOHN
3164 NE 35TH PL
PORTLAND, OR 97212-2728
Phone number:
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