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1316428907
JORDAN VILLANUEVA
PORTLAND, OR
NPI
1316428907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62421)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
JORDAN VILLANUEVA DPT, PT
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-1234
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Mailing Address
JORDAN VILLANUEVA DPT, PT
45 EAGLE CREST DR APT 216
LAKE OSWEGO, OR 97035-1051
Phone number: 513-543-3843
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