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1457459505
SHINY VERGIS
PORTLAND, OR
NPI
1457459505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 4OQA00652700)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mrs. SHINY VERGIS PT
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-273-5018
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Mailing Address
Mrs. SHINY VERGIS PT
175 SE 58TH CT
HILLSBORO, OR 97123-6960
Phone number: 503-640-5988
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