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1891700399
AMY ELIZABETH SOTHERN
PORTLAND, OR
NPI
1891700399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00701)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
AMY ELIZABETH SOTHERN PA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6400
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Mailing Address
AMY ELIZABETH SOTHERN PA
2235 NE 26TH AVE
PORTLAND, OR 97212-5016
Phone number: 503-494-6205
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