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1598807158
TARA LEE GREGORY
PORTLAND, OR
NPI
1598807158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 093006523N1 FNP)
Enumeration Date
2007-02-12
Last Update Date
2011-06-24
Business Address
-- TARA LEE GREGORY FNP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Phone number: 503-803-4860
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Mailing Address
-- TARA LEE GREGORY FNP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-803-4860
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