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1811463250
CAITLIN M MWANGA
LAKE OSWEGO, OR
NPI
1811463250
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Former Name
CAITLIN M ZIMMERMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA190113)
Enumeration Date
2018-10-23
Last Update Date
2022-10-18
Business Address
CAITLIN M MWANGA PA
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035-2479
Phone number: 503-216-1500
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Mailing Address
CAITLIN M MWANGA PA
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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