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1619532884
TAYLOR ALYSA POTTRATZ
LAKE OSWEGO, OR
NPI
1619532884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA204779)
Enumeration Date
2019-05-03
Last Update Date
2021-10-04
Business Address
TAYLOR ALYSA POTTRATZ
123 C AVE
LAKE OSWEGO, OR 97034-2353
Phone number: 503-905-9006
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Mailing Address
TAYLOR ALYSA POTTRATZ
123 C AVE
LAKE OSWEGO, OR 97034-2353
Phone number:
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