LISA ANDERSEN

PORTLAND, OR
NPI1730484312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA160150)
Enumeration Date2011-01-13
Last Update Date2014-02-17
Business Address
-- LISA ANDERSEN
5050 NE HOYT ST STE 138
PORTLAND, OR 97213-2955
Phone number: 503-238-1062
Mailing Address
-- LISA ANDERSEN
5050 NE HOYT ST STE 138
PORTLAND, OR 97213-2955
Phone number: 503-238-1062
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