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1043292311
CLEM GEORGE EISCHEN
GRESHAM, OR
NPI
1043292311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 1517)
Enumeration Date
2005-11-14
Last Update Date
2018-04-23
Business Address
MR. CLEM GEORGE EISCHEN PT
24076 SE STARK ST
GRESHAM, OR 97030-3162
Phone number: 503-491-1666
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Mailing Address
MR. CLEM GEORGE EISCHEN PT
31541 SE DIVISION DR
TROUTDALE, OR 97060-8422
Phone number: 503-663-2425
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