Bailey A Hasty PA-S

NPI 1215278361 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1215278361
Gender Female
Enumeration Date 03/13/2013
Last Updated 03/13/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
3181 SW SAM JACKSON PARK RD # GH219
PORTLAND OR, 97239-3011, US
Phone (503) 929-2918
Fax
Business Location
3181 SW SAM JACKSON PARK RD # GH219
PORTLAND OR, 97239-3011, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Bailey A Hasty PA-S NPI is 1215278361, taxonomy code is 390200000X Bailey A Hasty PA-S physically located at 3181 Sw Sam Jackson Park Rd # Gh219, Portland OR, 97239-3011. NPI Number Bailey A Hasty PA-S has the Individual type.

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1215278361 NPI number is provided on an as is basis without warranty of any kind. 1215278361 is maintained by the National Plan & Provider Enumeration System. The contents of Bailey A Hasty PA-S are for informational purposes only.