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1093443145
ANDREW LAKE
PORTLAND, OR
NPI
1093443145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
ANDREW LAKE
16083 SW UPPER BOONES FERRY RD STE 320
PORTLAND, OR 97224-7736
Phone number: 503-443-6156
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Mailing Address
ANDREW LAKE
16083 SW UPPER BOONES FERRY RD STE 300
PORTLAND, OR 97224-7736
Phone number: 503-443-6156
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