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1447934153
ERIC HERBERT VICINUS
PORTLAND, OR
NPI
1447934153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: OR 64971)
Enumeration Date
2023-06-13
Last Update Date
2023-06-13
Business Address
ERIC HERBERT VICINUS PT, DPT
18215 NW WEST UNION RD STE B
PORTLAND, OR 97229-2139
Phone number: 971-979-0979
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Mailing Address
ERIC HERBERT VICINUS PT, DPT
1186 SE HIGHFIELD AVE
HILLSBORO, OR 97123-4890
Phone number:
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