Individual
MISS RACHEL LYNN WITOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2124 NW HOYT ST, PORTLAND, OR 97210-3215
(610) 297-0348
Mailing address
2124 NW HOYT ST, PORTLAND, OR 97210-3215
(610) 297-0348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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