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1457832594
MONICA LYNN BASTIAN
PORTLAND, OR
NPI
1457832594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 6233)
Enumeration Date
2018-08-27
Last Update Date
2021-01-15
Business Address
MONICA LYNN BASTIAN PT
507 NE 47TH AVE
PORTLAND, OR 97213-2236
Phone number: 503-215-6488
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Mailing Address
MONICA LYNN BASTIAN PT
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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