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1154604056
JUSTIN PHILIPS
PORTLAND, OR
NPI
1154604056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 6601)
Enumeration Date
2011-09-27
Last Update Date
2011-09-27
Business Address
Mr. JUSTIN PHILIPS PT
39 NE 102ND AVE
PORTLAND, OR 97220-4103
Phone number: 503-252-2461
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Mailing Address
Mr. JUSTIN PHILIPS PT
916 NE MASON ST
PORTLAND, OR 97211-3466
Phone number: 518-243-9400
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