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1669026274
AMY LINN WAGAMON
PORTLAND, OR
NPI
1669026274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09785)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
AMY LINN WAGAMON PTA
5701 SW MULTNOMAH BLVD
PORTLAND, OR 97219-3195
Phone number: 503-244-1107
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Mailing Address
AMY LINN WAGAMON PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-224-2040
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