JED J JUACHON

PORTLAND, OR
NPI1912941600
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: CA  PA18038)
Enumeration Date2006-06-15
Last Update Date2007-07-08
Business Address
JED J JUACHON PA C
100 WILLOW PLAZA SUITE 301
PORTLAND, OR 93291-6215
Phone number: 559-734-3279
Mailing Address
JED J JUACHON PA C
5319 SW WESTGATE DR SUITE 255
PORTLAND, OR 97221
Phone number: 503-445-2034
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