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1093271363
JOHN LEIDHOLT
BEAVERTON, OR
NPI
1093271363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63142)
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
JOHN LEIDHOLT PT
4690 SW WASHINGTON AVE
BEAVERTON, OR 97005-0530
Phone number: 503-644-3311
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Mailing Address
JOHN LEIDHOLT PT
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 503-443-6156
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