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1174032411
SIA KRUSS
PORTLAND, OR
NPI
1174032411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 391631)
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
SIA KRUSS
6010 SW SHATTUCK RD
PORTLAND, OR 97221-1043
Phone number: 503-246-8811
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Mailing Address
SIA KRUSS
12425 NW BARNES RD APT 43
PORTLAND, OR 97229-6091
Phone number: 971-563-2629
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