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1023745809
RYAN EDWARD KRAUS
PORTLAND, OR
NPI
1023745809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-08-02
Last Update Date
2022-08-02
Business Address
RYAN EDWARD KRAUS
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 500-760-9606
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Mailing Address
RYAN EDWARD KRAUS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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