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1962809574
MAIA LAVARIAS
PORTLAND, OR
NPI
1962809574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA180238)
Enumeration Date
2014-11-25
Last Update Date
2021-04-09
Business Address
MAIA LAVARIAS PA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-4910
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Mailing Address
MAIA LAVARIAS PA
3181 SW SAM JACKSON PARK RD MAIL CODE SJH-2
PORTLAND, OR 97239-3011
Phone number: 503-494-4910
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