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1679548416
JASON JOHN LINES
PORTLAND, OR
NPI
1679548416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA00793)
Enumeration Date
2006-02-22
Last Update Date
2007-10-24
Business Address
-- JASON JOHN LINES PAC
9155 SW BARNES RD SUITE 240
PORTLAND, OR 97225-6625
Phone number: 503-296-4027
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Mailing Address
-- JASON JOHN LINES PAC
9155 SW BARNES RD SUITE 240
PORTLAND, OR 97225-6625
Phone number: 503-296-4027
Copy
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