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1366043101
ELISE FOSTER
PORTLAND, OR
NPI
1366043101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63874)
Enumeration Date
2020-11-06
Last Update Date
2020-11-06
Business Address
ELISE FOSTER
4040 NE FREMONT ST
PORTLAND, OR 97212-1952
Phone number: 503-493-4463
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Mailing Address
ELISE FOSTER
18450 NE RIBBON RIDGE RD
NEWBERG, OR 97132-6566
Phone number: 503-476-2511
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