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1902828536
JILL KEITGES WELLNITZ
PORTLAND, OR
NPI
1902828536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA01112)
Enumeration Date
2006-07-24
Last Update Date
2021-07-01
Business Address
JILL KEITGES WELLNITZ PA-C
5330 NE GLISAN ST SUITE 200
PORTLAND, OR 97213-3069
Phone number: 503-215-9080
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Mailing Address
JILL KEITGES WELLNITZ PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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