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Individual

MS. PATRICIA JANE PULLIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.N.P.

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 721-1077
Mailing address
4043 SW 48TH PL, PORTLAND, OR 97221-3735
(503) 297-7488

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
089007477N3 ANP PP
OR

Other

Enumeration date
06/09/2006
Last updated
07/08/2007
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