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1639271406
GINNY LEE LAFERRIERE
PORTLAND, OR
NPI
1639271406
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Former Name
GINNY LEE MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 079043585N3)
Enumeration Date
2006-09-02
Last Update Date
2007-12-12
Business Address
Ms. GINNY LEE LAFERRIERE NP
2701 NW VAUGHN ST STE 160
PORTLAND, OR 97210-5344
Phone number: 503-499-5200
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Mailing Address
Ms. GINNY LEE LAFERRIERE NP
4515 NE ROYAL CT
PORTLAND, OR 97213-2354
Phone number: 503-235-5263
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