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Doctors / OR
NURSE PRACTITIONER
Graduated: 2004
NPI: 1346217403
MULTNOMAH COUNTY
600 NE 8TH ST
GRESHAM, OR 970307317
5039887468
12425 NE GLISAN ST
PORTLAND, OR 972302144
5036800075
Source: CMS National Downloadable File, September 2026.