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1023749124
RYAN JOSEPH DEPAUW
BEAVERTON, OR
NPI
1023749124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 17505)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
RYAN JOSEPH DEPAUW
1815 NW 169TH PL STE 3070
BEAVERTON, OR 97006-7368
Phone number: 971-249-2653
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Mailing Address
RYAN JOSEPH DEPAUW
1815 NW 169TH PL STE 3070
BEAVERTON, OR 97006-7368
Phone number: 971-249-2653
Copy
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