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1023497526
JEFFERY WARILA
PORTLAND, OR
NPI
1023497526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2015-05-29
Last Update Date
2015-05-29
Business Address
-- JEFFERY WARILA CPO
17316 NE HALSEY ST
PORTLAND, OR 97230-6026
Phone number: 503-257-6623
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Mailing Address
-- JEFFERY WARILA CPO
17316 NE HALSEY ST
PORTLAND, OR 97230-6026
Phone number: 503-257-6623
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