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1013495704
MOLLY ANN FAUSKE
LAKE OSWEGO, OR
NPI
1013495704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4033)
Enumeration Date
2018-08-03
Last Update Date
2023-04-21
Business Address
Mrs. MOLLY ANN FAUSKE PT
17550 PROVOST ST STE 201A
LAKE OSWEGO, OR 97034-5199
Phone number: 503-872-2441
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Mailing Address
Mrs. MOLLY ANN FAUSKE PT
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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