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1144490913
ADAM ZACKER KING
PORTLAND, OR
NPI
1144490913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5059)
Enumeration Date
2008-03-07
Last Update Date
2011-01-03
Business Address
-- ADAM ZACKER KING P.T.
16195 SW 72ND AVE
PORTLAND, OR 97224-7766
Phone number: 503-619-1020
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Mailing Address
-- ADAM ZACKER KING P.T.
22448 SW 104TH AVE
TUALATIN, OR 97062-7595
Phone number: 503-780-5613
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