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1508996117
MICHAEL JOHN CANTWELL
PORTLAND, OR
NPI
1508996117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: OR 4414)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- MICHAEL JOHN CANTWELL DPT
12672 SE STARK ST
PORTLAND, OR 97233-1058
Phone number: 503-254-2652
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Mailing Address
-- MICHAEL JOHN CANTWELL DPT
5535 SE 130TH AVE
PORTLAND, OR 97236-4193
Phone number: 503-939-9144
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