LISA BLAKLEY

PORTLAND, OR
NPI1649031642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA220196)
Enumeration Date2024-01-17
Last Update Date2024-08-12
Business Address
LISA BLAKLEY
5050 NE HOYT ST STE 359
PORTLAND, OR 97213-2983
Phone number: 503-935-8501
Mailing Address
LISA BLAKLEY
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801
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