LISA BLAKLEY

PORTLAND, OR
NPI1649031642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA220196)
Enumeration Date2024-01-17
Last Update Date2025-02-24
Business Address
LISA BLAKLEY PA
2222 NW LOVEJOY ST STE 422
PORTLAND, OR 97210-5102
Phone number: 503-227-7117
Mailing Address
LISA BLAKLEY PA
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801
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