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1184731242
ANDREA JANE WALL
PORTLAND, OR
NPI
1184731242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA 234039)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
-- ANDREA JANE WALL OTR/L
2701 NW VAUGHN ST STE 140
PORTLAND, OR 97210-5311
Phone number: 503-499-5200
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Mailing Address
-- ANDREA JANE WALL OTR/L
6411 SW 25TH AVE
PORTLAND, OR 97239-1982
Phone number: 503-244-4283
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