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1093063695
SPENCER P BUSHNELL
PORTLAND, OR
NPI
1093063695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 6905)
Enumeration Date
2012-08-29
Last Update Date
2012-08-29
Business Address
-- SPENCER P BUSHNELL DPT
9828 E. BURNSIDE ST SUITE 250
PORTLAND, OR 97216-2365
Phone number: 503-254-3424
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Mailing Address
-- SPENCER P BUSHNELL DPT
5215 SE CESAR E. CHAVEZ
PORTLAND, OR 97202-4215
Phone number: 503-254-3424
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