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1144283128
JIM EDWARD WALLIS
PORTLAND, OR
NPI
1144283128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR at-at-048672)
Enumeration Date
2006-04-10
Last Update Date
2024-12-29
Business Address
Mr. JIM EDWARD WALLIS ATC
930 SW HALL
PORTLAND, OR 97201
Phone number: 503-725-4073
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Mailing Address
Mr. JIM EDWARD WALLIS ATC
6209 NE 24TH AVE
PORTLAND, OR 97211-6005
Phone number: 503-284-8629
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