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1649727868
JEFFREY DONOVAN
PORTLAND, OR
NPI
1649727868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA179246)
Enumeration Date
2016-09-06
Last Update Date
2016-09-06
Business Address
-- JEFFREY DONOVAN PA-C
3181 SW SAM JACKSON PARK RD L586
PORTLAND, OR 97239-3011
Phone number: 541-285-7427
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Mailing Address
-- JEFFREY DONOVAN PA-C
3181 SW SAM JACKSON PARK RD L586
PORTLAND, OR 97239-3011
Phone number: 541-285-7427
Copy
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