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1184336745
TRIPLE MOON THERAPY LLC
PORTLAND, OR
NPI
1184336745
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Entity Type
Organization
Authorized Contact
COURTNEY LIVAUDAIS
Owner
503-549-1103
Organization Subpart ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2022-12-15
Last Update Date
2022-12-15
Business Address
TRIPLE MOON THERAPY LLC
5751 N VANCOUVER AVE
PORTLAND, OR 97217-2450
Phone number: 503-549-1103
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Mailing Address
TRIPLE MOON THERAPY LLC
PO BOX 1111
PORTLAND, OR 97207-1111
Phone number:
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