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1083015804
BRIETTA LISE KUBAK
PORTLAND, OR
NPI
1083015804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 60791)
Enumeration Date
2014-09-11
Last Update Date
2018-02-20
Business Address
Ms. BRIETTA LISE KUBAK DPT
1630 SW MORRISON ST
PORTLAND, OR 97205-1916
Phone number: 503-227-7774
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Mailing Address
Ms. BRIETTA LISE KUBAK DPT
1630 SW MORRISON ST
PORTLAND, OR 97205-1916
Phone number: 503-227-7774
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