Individual
MS. JULIE LYNN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, CMA
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
3628 NE 141ST AVE, PORTLAND, OR 97230-3626
(503) 253-5643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130305LPN
OR
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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