LUCY NUSRALA

PORTLAND, OR
NPI1821087891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA01448)
Enumeration Date2005-10-20
Last Update Date2014-05-08
Business Address
-- LUCY NUSRALA P.A.-C
4212 NE BROADWAY ST
PORTLAND, OR 97213-1422
Phone number: 503-249-8787
Mailing Address
-- LUCY NUSRALA P.A.-C
4212 NE BROADWAY ST
PORTLAND, OR 97213-1422
Phone number: 503-249-8787
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