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1689024739
LARRY STEPHENS
PORTLAND, OR
NPI
1689024739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 07858)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
LARRY STEPHENS
17727 E BURNSIDE ST
PORTLAND, OR 97233-4803
Phone number: 503-215-9820
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Mailing Address
LARRY STEPHENS
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number: 503-215-9820
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