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1588918114
KYLE GREEN
PORTLAND, OR
NPI
1588918114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 60040)
Enumeration Date
2012-11-05
Last Update Date
2015-08-18
Business Address
-- KYLE GREEN PT
4876 NW BETHANY BLVD SUITE L-1
PORTLAND, OR 97229-9259
Phone number: 503-466-2254
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Mailing Address
-- KYLE GREEN PT
511 SW 10TH AVE STE 101
PORTLAND, OR 97205-2700
Phone number: 503-294-7463
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