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Individual

GAYLE LAUREN SHEARS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7551
(503) 494-4997
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7551
(503) 494-4997

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002442
IA
363AM0700X
Medical Physician Assistant
Primary
181283
OR

Other

Enumeration date
09/03/2013
Last updated
02/01/2021
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