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1457644916
SAMANTHA E KREIZENBECK
BEAVERTON, OR
NPI
1457644916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 16765)
Enumeration Date
2011-05-17
Last Update Date
2013-10-04
Business Address
Miss SAMANTHA E KREIZENBECK
2155 NW 173RD AVE SUITE 103
BEAVERTON, OR 97006-3563
Phone number: 503-352-0735
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Mailing Address
Miss SAMANTHA E KREIZENBECK
16784 SW VINCENT ST
ALOHA, OR 97007-1912
Phone number: 503-464-6410
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