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1588755003
MATTHEW PICKENS IRVINE
MILWAUKIE, OR
NPI
1588755003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4546)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Mr. MATTHEW PICKENS IRVINE Physical Therapist
4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5140
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Mailing Address
Mr. MATTHEW PICKENS IRVINE Physical Therapist
4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
Phone number: 971-206-5140
Copy
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