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1649799032
CHRISTINE LASICH
PORTLAND, OR
NPI
1649799032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 201706639NP-PP)
Enumeration Date
2017-09-17
Last Update Date
2018-09-24
Business Address
CHRISTINE LASICH AGACNP
501 N GRAHAM ST STE 220
PORTLAND, OR 97227-2014
Phone number: 503-413-6200
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Mailing Address
CHRISTINE LASICH AGACNP
PO BOX 3777
PORTLAND, OR 97208-3777
Phone number: 503-413-3900
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