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1356389811
STANLEY ROBERT GORMAN
PORTLAND, OR
NPI
1356389811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2057)
Enumeration Date
2006-06-04
Last Update Date
2010-06-01
Business Address
Mr. STANLEY ROBERT GORMAN P.T.
10915 SE STARK ST
PORTLAND, OR 97216-3348
Phone number: 503-261-1120
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Mailing Address
Mr. STANLEY ROBERT GORMAN P.T.
10915 SE STARK ST
PORTLAND, OR 97216-3348
Phone number: 503-261-1120
Copy
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