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1023431848
DERRICK BAILEY
PORTLAND, OR
NPI
1023431848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 285318)
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
-- DERRICK BAILEY
6010 SW SHATTUCK RD
PORTLAND, OR 97221-1043
Phone number: 503-246-8811
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Mailing Address
-- DERRICK BAILEY
6010 SW SHATTUCK RD
PORTLAND, OR 97221-1043
Phone number: 503-246-8811
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