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1265863989
STEVEN MASSINGALE
PORTLAND, OR
NPI
1265863989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 08857)
Enumeration Date
2013-12-05
Last Update Date
2013-12-05
Business Address
-- STEVEN MASSINGALE PTA
3550 SW BOND AVE
PORTLAND, OR 97239-4507
Phone number: 503-688-6573
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Mailing Address
-- STEVEN MASSINGALE PTA
3550 SW BOND AVE
PORTLAND, OR 97239-4507
Phone number: 503-688-6573
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