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1578546040
ELLEN R GROVER
PORTLAND, OR
NPI
1578546040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2270)
Enumeration Date
2005-11-29
Last Update Date
2007-11-01
Business Address
-- ELLEN R GROVER PT
3016 NE BROADWAY ST
PORTLAND, OR 97232-1811
Phone number: 503-287-6636
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Mailing Address
-- ELLEN R GROVER PT
3016 NE BROADWAY ST
PORTLAND, OR 97232-1811
Phone number: 503-287-6636
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