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1306149281
ERIN ELLA PHELAN
PORTLAND, OR
NPI
1306149281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 17754)
Enumeration Date
2010-12-14
Last Update Date
2010-12-14
Business Address
-- ERIN ELLA PHELAN LMT
17223 SE DIVISION ST
PORTLAND, OR 97236-1240
Phone number: 503-760-0778
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Mailing Address
-- ERIN ELLA PHELAN LMT
859 SW 257TH AVE 147
TROUTDALE, OR 97060-7433
Phone number: 253-389-1710
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