JUSTINE LISELLA

SAINT HELENS, OR
NPI1740669266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA172389)
Enumeration Date2015-05-29
Last Update Date2015-05-29
Business Address
-- JUSTINE LISELLA MPA-C
525 N COLUMBIA RIVER HWY
SAINT HELENS, OR 97051-1226
Phone number: 503-366-6244
Mailing Address
-- JUSTINE LISELLA MPA-C
2010 NW FRONT AVE APT. C501
PORTLAND, OR 97209-1852
Phone number: 570-423-2141
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