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1316044076
GWENDOLYN MAE WHITE
PORTLAND, OR
NPI
1316044076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 0572)
Enumeration Date
2006-09-17
Last Update Date
2007-07-08
Business Address
Ms. GWENDOLYN MAE WHITE P.T.
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number: 503-331-3050
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Mailing Address
Ms. GWENDOLYN MAE WHITE P.T.
4401 SW 40TH AVE
PORTLAND, OR 97221-4017
Phone number: 503-294-0152
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