ANDREW JOHN MUNDT-FETTKETHER

PORTLAND, OR
NPI1114564481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  413330)
Enumeration Date2019-12-05
Last Update Date2019-12-05
Business Address
ANDREW JOHN MUNDT-FETTKETHER
5330 NE PRESCOTT ST
PORTLAND, OR 97218-2158
Phone number: 503-288-6585
Mailing Address
ANDREW JOHN MUNDT-FETTKETHER
5330 NE PRESCOTT ST
PORTLAND, OR 97218-2158
Phone number:
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