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1619226990
KATHY SMITH WIJAYA
CLACKAMAS, OR
NPI
1619226990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4057)
Enumeration Date
2012-09-02
Last Update Date
2021-12-17
Business Address
Mrs. KATHY SMITH WIJAYA PT
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-2091
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Mailing Address
Mrs. KATHY SMITH WIJAYA PT
17839 SW HART DR
BEAVERTON, OR 97007-6796
Phone number: 503-430-5158
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