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1366068348
CODY DARYOOSH KAVEH
BEAVERTON, OR
NPI
1366068348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62973)
Enumeration Date
2020-06-25
Last Update Date
2020-09-11
Business Address
CODY DARYOOSH KAVEH PT, DPT
12345 SW HORIZON BLVD STE 57
BEAVERTON, OR 97007-9475
Phone number: 503-216-8825
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Mailing Address
CODY DARYOOSH KAVEH PT, DPT
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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