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1356079453
SCOTT CODY MCINTOSH
PORTLAND, OR
NPI
1356079453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 10094)
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
Mr. SCOTT CODY MCINTOSH
812 SE 48TH AVE
PORTLAND, OR 97215-1724
Phone number: 503-236-2624
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Mailing Address
Mr. SCOTT CODY MCINTOSH
2341 NE 62ND AVE
PORTLAND, OR 97213-4031
Phone number: 503-915-8522
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