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1255589057
ANDREA NOEL KOSKAMP
PORTLAND, OR
NPI
1255589057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 05690)
Enumeration Date
2008-09-04
Last Update Date
2021-06-11
Business Address
ANDREA NOEL KOSKAMP DPT
443 NE KNOTT ST
PORTLAND, OR 97212-3108
Phone number: 971-983-5206
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Mailing Address
ANDREA NOEL KOSKAMP DPT
443 NE KNOTT ST
PORTLAND, OR 97212-3108
Phone number: 971-404-6146
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