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Johannah Lutz, PA-C
Medical Physician Assistant in Portland, Oregon
NPI 1285966002

Johannah Lutz is a Medical Physician Assistant based in Hillsboro, OR and is specialized in Medical. Johannah Lutz practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Johannah Lutz is 1285966002 and holds a License No. PA159810 (Oregon).

The current practice location address for Johannah Lutz is 202 Nw 13Th Ave, Portland, OR and can be reached out via phone at 503-684-8252. You can also correspond with Johannah Lutz through the mailing address at 19075 NW TANASBOURNE DR, HILLSBORO, OR - 97124-5860 (mailing address contact number: 503-684-8252).

Location: 202 Nw 13Th Ave, Portland, OR, 97124-5860
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Provider Profile Details
NPI Number
1285966002
Provider Name
Johannah Lutz
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
202 Nw 13Th Ave, Portland, OR, 97124-5860
Phone Number
503-684-8252
Fax Number
Provider Enumeration Date
02/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA159810 01 OR OREGON MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
202 Nw 13Th Ave
City
State
Zip
97209-2953
Phone Number
503-684-8252
Fax Number
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Provider Business Mailing Address Details
Address
202 Nw 13Th Ave
City
State
Zip
97209-2953
Phone Number
503-684-8252
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA159810 (Oregon)
Definition
Definition to come...
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