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1841845153
SAMANTHA LARAE FEAGINS
PORTLAND, OR
NPI
1841845153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201906305)
Enumeration Date
2019-08-04
Last Update Date
2019-08-04
Business Address
SAMANTHA LARAE FEAGINS
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-239-8101
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Mailing Address
SAMANTHA LARAE FEAGINS
424 NE 22ND AVE
PORTLAND, OR 97232-2809
Phone number: 503-239-8101
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