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1437363942
KEVIN CHARLSTON
PORTLAND, OR
NPI
1437363942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 3542)
Enumeration Date
2007-05-10
Last Update Date
2018-07-30
Business Address
KEVIN CHARLSTON PT
1111 NE 99TH AVE STE 300
PORTLAND, OR 97220
Phone number: 503-216-5434
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Mailing Address
KEVIN CHARLSTON PT
2353 N WATTS ST
PORTLAND, OR 97217-6835
Phone number: 971-221-3082
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