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1326022187
MARK TRAVIS HATFIELD
PORTLAND, OR
NPI
1326022187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4986)
Enumeration Date
2005-12-05
Last Update Date
2010-05-05
Business Address
Mr. MARK TRAVIS HATFIELD DPT
1420 SW BROADWAY
PORTLAND, OR 97201-3413
Phone number: 503-222-1955
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Mailing Address
Mr. MARK TRAVIS HATFIELD DPT
1420 SW BROADWAY
PORTLAND, OR 97201-3413
Phone number: 503-222-1955
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