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1093134603
CAMPBELL MIKUSH
PORTLAND, OR
NPI
1093134603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 324129)
Enumeration Date
2014-04-10
Last Update Date
2015-07-27
Business Address
Ms. CAMPBELL MIKUSH OT
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225-5102
Phone number: 503-228-6479
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Mailing Address
Ms. CAMPBELL MIKUSH OT
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225-5102
Phone number: 503-228-6479
Copy
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