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Individual

COLE JANINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
(503) 982-0660
Mailing address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
(503) 982-0660

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA172334
OR
363A00000X
Physician Assistant

Other

Enumeration date
06/22/2015
Last updated
03/18/2021
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