Individual
JULIANA MOGIELNICKI BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PPV350, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 494-6324
Mailing address
3181 SW SAM JACKSON PARK RD, PPV350, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 494-6324
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA154104
OR
363AM0700X
Medical Physician Assistant
PA60058289
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0243061
L & I
WA
05
—
8532269
—
WA
Enumeration date
10/29/2008
Last updated
06/12/2012
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