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1396169603
JORDAN BRANDON
PORTLAND, OR
NPI
1396169603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 60454)
Enumeration Date
2014-02-06
Last Update Date
2024-06-19
Business Address
JORDAN BRANDON
4829 NE MLK JR BLVD STE 101
PORTLAND, OR 97211-3491
Phone number: 503-283-8133
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Mailing Address
JORDAN BRANDON
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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