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1043335623
STACEY L COCHRAN
PORTLAND, OR
NPI
1043335623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4207)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
-- STACEY L COCHRAN PT, DPT
5420 NE GLISAN ST
PORTLAND, OR 97213-3063
Phone number: 503-233-3163
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Mailing Address
-- STACEY L COCHRAN PT, DPT
2424 NE 19TH AVE
PORTLAND, OR 97212-4252
Phone number: 503-720-9500
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