STACEY MARIE LAWRENCE

PORTLAND, OR
NPI1851443501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA01185)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
Ms. STACEY MARIE LAWRENCE PA
3181 SW SAM JACKSON PARK RD MAILCODE UHS2
PORTLAND, OR 97239-3011
Phone number: 503-494-4910
Mailing Address
Ms. STACEY MARIE LAWRENCE PA
3181 SW SAM JACKSON PARK RD MAILCODE UHS2
PORTLAND, OR 97239-3011
Phone number: 623-326-4597
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