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1144726225
IGNACIO HIDALGO
PORTLAND, OR
NPI
1144726225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09575)
Enumeration Date
2018-04-05
Last Update Date
2018-04-05
Business Address
IGNACIO HIDALGO
745 NE 122ND AVE
PORTLAND, OR 97230-2001
Phone number: 503-252-0241
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Mailing Address
IGNACIO HIDALGO
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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