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Individual

MRS. MEGAN LOUISE HARLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
308 VILLA RD, NEWBERG, OR 97132-1881
(503) 538-9431
(503) 538-2358
Mailing address
308 VILLA RD, NEWBERG, OR 97132-1881
(503) 538-9431
(503) 538-2358

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1404
OR

Other

Enumeration date
10/22/2008
Last updated
10/14/2010
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