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1083014088
WEIFAN YUAN
PORTLAND, OR
NPI
1083014088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60450984)
Enumeration Date
2014-08-26
Last Update Date
2014-08-26
Business Address
-- WEIFAN YUAN DPT
4560 SE INTERNATIONAL WAY
PORTLAND, OR 97222-4628
Phone number: 971-206-5102
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Mailing Address
-- WEIFAN YUAN DPT
4249 129TH PL SE UNIT 6
BELLEVUE, WA 98006-1340
Phone number: 316-250-4655
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