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1306689609
KEITH JAMES EARLY
PORTLAND, OR
NPI
1306689609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 012346)
Enumeration Date
2024-06-14
Last Update Date
2024-06-14
Business Address
KEITH JAMES EARLY
1151 SW VERMONT ST
PORTLAND, OR 97219-2163
Phone number: 503-916-5280
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Mailing Address
KEITH JAMES EARLY
2506 SW BOUNDARY ST
PORTLAND, OR 97239-2026
Phone number: 503-863-9777
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