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1891782751
JENNIFER BOTELHO
PORTLAND, OR
NPI
1891782751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA00838)
Enumeration Date
2005-10-05
Last Update Date
2011-08-26
Business Address
-- JENNIFER BOTELHO PA-C
1130 NW 22ND AVE STE 535
PORTLAND, OR 97210-2976
Phone number: 503-274-4999
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Mailing Address
-- JENNIFER BOTELHO PA-C
1130 NW 22ND AVE STE 535
PORTLAND, OR 97210-2976
Phone number: 503-274-4999
Copy
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