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1598289282
STEPHEN MATTHEW BLOCK
GRESHAM, OR
NPI
1598289282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62323)
Enumeration Date
2017-08-03
Last Update Date
2017-08-03
Business Address
STEPHEN MATTHEW BLOCK DPT
24076 SE STARK ST
GRESHAM, OR 97030-3373
Phone number: 503-491-1666
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Mailing Address
STEPHEN MATTHEW BLOCK DPT
2009 SE HARNEY ST
PORTLAND, OR 97202-7408
Phone number: 503-621-8191
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