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1073715439
JODI ROTH
PORTLAND, OR
NPI
1073715439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 997736)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
-- JODI ROTH OTR
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-6059
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Mailing Address
-- JODI ROTH OTR
5905 NE 37TH AVE
PORTLAND, OR 97211-7909
Phone number: 503-402-2986
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