Individual
PATRICIA PAQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1217 NE BURNSIDE RD, SUITE 701, GRESHAM, OR 97030-6722
(503) 407-1239
Mailing address
1217 NE BURNSIDE RD, SUITE 701, GRESHAM, OR 97030-6722
(503) 407-1239
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12829
OR
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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