Individual
MR. JAMES ROBERT WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7705 SE DIVISION ST, PORTLAND, OR 97206-1059
(503) 777-3311
Mailing address
2096 NW 17TH ST, GRESHAM, OR 97030-4854
(503) 577-9070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00541
OR
Other
Enumeration date
09/26/2006
Last updated
02/28/2008
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