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1265910590
ELIZABETH LEAH BLACKFORD
PORTLAND, OR
NPI
1265910590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 61919)
Enumeration Date
2018-07-30
Last Update Date
2019-12-13
Business Address
ELIZABETH LEAH BLACKFORD DPT
5050 NE HOYT ST STE 315
PORTLAND, OR 97213-2982
Phone number: 503-215-8580
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Mailing Address
ELIZABETH LEAH BLACKFORD DPT
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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