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Organization
3RD HAND SURGICAL ASSIST LLC
Active
Organization
3RD HAND SURGICAL ASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA LEIGH HENDERSON PA-C (MEMBER OWNER)
(503) 860-0619
Entity
Organization
Contact information
Practice address
3600 SW 93RD AVE, PORTLAND, OR 97225-2815
(503) 860-0619
(503) 297-2649
Mailing address
3600 SW 93RD AVE, PORTLAND, OR 97225-2815
(503) 860-0619
(503) 297-2649
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00508
OR
Other
Enumeration date
06/13/2013
Last updated
01/14/2016
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