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1598285561
ALEXANDER C HENNINGSEN
PORTLAND, OR
NPI
1598285561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62334)
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
ALEXANDER C HENNINGSEN DPT
9828 E BURNSIDE ST STE 2503860
PORTLAND, OR 97216-2354
Phone number: 503-254-3424
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Mailing Address
ALEXANDER C HENNINGSEN DPT
9828 E BURNSIDE ST, STE 250
PORTLAND, OR 97216
Phone number: 503-254-3424
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