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1003334392
DAVID GENCO
PORTLAND, OR
NPI
1003334392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62406)
Enumeration Date
2017-09-06
Last Update Date
2017-09-06
Business Address
DAVID GENCO DPT
319 NE RUSSET ST
PORTLAND, OR 97211-2815
Phone number: 503-289-5571
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Mailing Address
DAVID GENCO DPT
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5202
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