Individual
MRS. LAURA WINTER DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3303 SW BOND AVE STE 5, PORTLAND, OR 97239-4501
(503) 494-6887
Mailing address
3303 SW BOND AVE STE 5, PORTLAND, OR 97239-4501
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA169110
OR
Other
Enumeration date
09/29/2014
Last updated
01/14/2021
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