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1902462914
JESSICA PHAM
PORTLAND, OR
NPI
1902462914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
JESSICA PHAM
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone number: 360-571-3084
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Mailing Address
JESSICA PHAM
2300 SE 82ND AVE UNIT 6
PORTLAND, OR 97216-1454
Phone number:
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