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1083847354
LISA BRADY
PORTLAND, OR
NPI
1083847354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5620)
Enumeration Date
2009-09-02
Last Update Date
2009-09-02
Business Address
-- LISA BRADY
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-6059
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Mailing Address
-- LISA BRADY
10100 SE BRISTOL LOOP
HAPPY VALLEY, OR 97086-3238
Phone number: 503-545-5510
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