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-- LISA BARROW --

Individual Provider (NPI-1) Active

Specialist

Provider Information

NPI Number
1235534504
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1277 NE 14TH LN, GRESHAM, OR, 970304218
Phone
(503) 734-6301

Specialties & Taxonomies

Specialist Primary License: OR #19513

All Addresses

MAILING

1277 NE 14TH LN

GRESHAM, OR, 970304218

(503) 734-6301

LOCATION

1277 NE 14TH LN

GRESHAM, OR, 970304218

(503) 734-6301