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1164580999
NEIL BASTIAN
LAKE OSWEGO, OR
NPI
1164580999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2021)
Enumeration Date
2006-12-05
Last Update Date
2007-10-02
Business Address
Mr. NEIL BASTIAN MS, PT
870 5TH ST
LAKE OSWEGO, OR 97034-2312
Phone number: 503-697-0542
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Mailing Address
Mr. NEIL BASTIAN MS, PT
870 5TH ST
LAKE OSWEGO, OR 97034-2312
Phone number: 503-697-0542
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