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1013506864
JASON STANLEY
SHERWOOD, OR
NPI
1013506864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63949)
Enumeration Date
2021-01-15
Last Update Date
2021-01-15
Business Address
JASON STANLEY PT
20055 SW PACIFIC HWY STE 110
SHERWOOD, OR 97140-9294
Phone number: 503-625-1691
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Mailing Address
JASON STANLEY PT
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 503-443-6156
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