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1447746276
MADELINE EVANS
PORTLAND, OR
NPI
1447746276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR 10178388)
Enumeration Date
2018-07-04
Last Update Date
2022-09-08
Business Address
MADELINE EVANS
6300 SW NICOL RD
PORTLAND, OR 97223-7599
Phone number: 503-246-7771
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Mailing Address
MADELINE EVANS
7250 SW SHARON LN
PORTLAND, OR 97225-2057
Phone number: 503-703-4957
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