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1174939524
JOHANKA STAVENIK
PORTLAND, OR
NPI
1174939524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XG0600X Occupational Therapist, Gerontology
Enumeration Date
2014-07-07
Last Update Date
2014-07-07
Business Address
-- JOHANKA STAVENIK OTR/L
5701 SW MULTNOMAH BLVD
PORTLAND, OR 97219-3195
Phone number: 503-244-1107
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Mailing Address
-- JOHANKA STAVENIK OTR/L
25117 SW PARKWAY AVE SUITE D
WILSONVILLE, OR 97070-9697
Phone number: 971-224-2004
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