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1144850074
KEIRSTALYN WADE
PORTLAND, OR
NPI
1144850074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 426621)
Enumeration Date
2020-01-20
Last Update Date
2022-03-08
Business Address
KEIRSTALYN WADE MSOT, OTR/L, CSRS
5335 NE IRVING ST
PORTLAND, OR 97213-3157
Phone number: 315-491-3362
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Mailing Address
KEIRSTALYN WADE MSOT, OTR/L, CSRS
10315 NE TANASBOURNE DR
HILLSBORO, OR 97124-7836
Phone number: 315-491-3362
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