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1801456124
JUVENAL FILS
PORTLAND, OR
NPI
1801456124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA197815)
Enumeration Date
2019-06-18
Last Update Date
2020-10-09
Business Address
JUVENAL FILS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5443
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Mailing Address
JUVENAL FILS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5443
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