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1720028111
LISA PUMA
PORTLAND, OR
NPI
1720028111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 087006211N6)
Enumeration Date
2006-06-07
Last Update Date
2013-03-21
Business Address
-- LISA PUMA PMHNP
610 SW ALDER ST SUITE 915
PORTLAND, OR 97205-3625
Phone number: 503-830-1624
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Mailing Address
-- LISA PUMA PMHNP
8635 SW 52ND AVE
PORTLAND, OR 97219-3318
Phone number: 503-452-9803
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