LARRY STEPHENS

PORTLAND, OR
NPI1689024739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  07858)
Enumeration Date2016-06-20
Last Update Date2016-06-20
Business Address
-- LARRY STEPHENS
17727 E BURNSIDE ST
PORTLAND, OR 97233-4803
Phone number: 503-215-9820
Mailing Address
-- LARRY STEPHENS
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number: 503-215-9820
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