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1548533193
MARK ALAN ANDERSON
BEAVERTON, OR
NPI
1548533193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 08703)
Enumeration Date
2012-02-13
Last Update Date
2012-02-13
Business Address
MARK ALAN ANDERSON PTA
14645 SW FARMINGTON RD.
BEAVERTON, OR 97007
Phone number: 503-718-5355
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Mailing Address
MARK ALAN ANDERSON PTA
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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