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Individual

RACHEL LEA LEMKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2200
Mailing address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01329
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500605742
OR
Enumeration date
01/18/2008
Last updated
07/12/2012
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