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1295213338
LORI AUSTIN
PORTLAND, OR
NPI
1295213338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09634)
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
LORI AUSTIN PTA
319 NE RUSSET ST
PORTLAND, OR 97211-2815
Phone number: 503-289-5571
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Mailing Address
LORI AUSTIN PTA
319 NE RUSSET ST
PORTLAND, OR 97211-2815
Phone number: 503-289-5571
Copy
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