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1013939511
JANA LYNN PORT
PORTLAND, OR
NPI
1013939511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 7673)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Ms. JANA LYNN PORT PTA
11300 NE HALSEY ST SUITE 102
PORTLAND, OR 97220-2096
Phone number: 503-257-9881
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Mailing Address
Ms. JANA LYNN PORT PTA
4920 NE GLISAN ST #416
PORTLAND, OR 97213-2963
Phone number: 503-239-7523
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