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Doctors / OR
NURSE PRACTITIONER
Graduated: 2019
NPI: 1548725112
17050 PILKINGTON RD, SUITE 220
LAKE OSWEGO, OR 970356309
5642250966
12416 NW 36TH AVE, SUITE 2C
VANCOUVER, WA 986852225
Source: CMS National Downloadable File, September 2026.