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1033728670
PAUL SONG EO
GRESHAM, OR
NPI
1033728670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63730)
Enumeration Date
2020-07-29
Last Update Date
2020-07-29
Business Address
PAUL SONG EO DPT
24076 SE STARK ST STE 200
GRESHAM, OR 97030-3376
Phone number: 503-491-1666
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Mailing Address
PAUL SONG EO DPT
2737 NW UPSHUR ST APT 218
PORTLAND, OR 97210-2273
Phone number: 224-616-1199
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