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1700994225
ELLEN ELIZABETH LAIRSON
PORTLAND, OR
NPI
1700994225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 200450154NP)
Enumeration Date
2006-08-25
Last Update Date
2021-03-19
Business Address
Ms. ELLEN ELIZABETH LAIRSON ANP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-4200
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Mailing Address
Ms. ELLEN ELIZABETH LAIRSON ANP
2944 NE 29TH AVE
PORTLAND, OR 97212-3557
Phone number: 503-284-4845
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