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1932507472
AMANDA VANDEVENTER
PORTLAND, OR
NPI
1932507472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA171000)
Enumeration Date
2014-12-16
Last Update Date
2023-10-26
Business Address
AMANDA VANDEVENTER PA-C
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213-1545
Phone number: 503-962-1000
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Mailing Address
AMANDA VANDEVENTER PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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