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1790997898
JANICE T CHUSSIL
PORTLAND, OR
NPI
1790997898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OR 090007375N3ANP-PP)
Enumeration Date
2007-05-03
Last Update Date
2016-01-19
Business Address
-- JANICE T CHUSSIL ANP
9495 SW LOCUST ST STE A
PORTLAND, OR 97223-6683
Phone number: 503-445-2200
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Mailing Address
-- JANICE T CHUSSIL ANP
9495 SW LOCUST ST STE A
PORTLAND, OR 97223-6683
Phone number: 503-636-9011
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