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1063647444
LARS EDWARD KELLOW
BEAVERTON, OR
NPI
1063647444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5879)
Enumeration Date
2009-05-28
Last Update Date
2009-05-28
Business Address
Mr. LARS EDWARD KELLOW DPT
11850 SW ALLEN BLVD
BEAVERTON, OR 97005-4805
Phone number: 503-646-7164
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Mailing Address
Mr. LARS EDWARD KELLOW DPT
9316 SW CORAL ST
TIGARD, OR 97223-6663
Phone number: 541-760-7794
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