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1790132017
GEOFFREY XIAO
TIGARD, OR
NPI
1790132017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA178428)
Enumeration Date
2016-05-17
Last Update Date
2019-11-26
Business Address
Mr. GEOFFREY XIAO PA-C
15895 SW 72ND AVE STE 250
TIGARD, OR 97224-7966
Phone number: 503-624-5630
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Mailing Address
Mr. GEOFFREY XIAO PA-C
1840 E RAY RD
CHANDLER, AZ 85225-8720
Phone number: 855-397-0197
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