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1114608197
CHANCE DAMON HALVORSON
MEDFORD, OR
NPI
1114608197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
CHANCE DAMON HALVORSON
1251 E MCANDREWS RD STE 102
MEDFORD, OR 97504-6497
Phone number: 541-779-6146
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Mailing Address
CHANCE DAMON HALVORSON
16083 SW UPPER BOONES FERRY RD STE 300
PORTLAND, OR 97224-7736
Phone number:
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