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1477512531
LISA MARY PORTER
PORTLAND, OR
NPI
1477512531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 995621)
Enumeration Date
2006-03-18
Last Update Date
2011-08-26
Business Address
-- LISA MARY PORTER OT
5232 N INTERSTATE AVE
PORTLAND, OR 97217-4023
Phone number: 503-449-0788
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Mailing Address
-- LISA MARY PORTER OT
5232 N INTERSTATE AVE
PORTLAND, OR 97217-3767
Phone number: 503-575-9402
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