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Doctors / OR
PHYSICAL THERAPIST IN PRIVATE PRACTICE
Graduated: 2024
NPI: 1891537726
708 NW 19TH AVE APT, SUITE 404
Portland, OR 972091319
708 NW 19TH AVE, APT 404
PORTLAND, OR 972091319
Source: CMS National Downloadable File, September 2026.