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1689982126
SALLY MARIE MOEGGENBERG
PORTLAND, OR
NPI
1689982126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: OR 2422)
Enumeration Date
2010-09-17
Last Update Date
2010-09-17
Business Address
Mrs. SALLY MARIE MOEGGENBERG MPT
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3009
Phone number: 503-221-3429
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Mailing Address
Mrs. SALLY MARIE MOEGGENBERG MPT
4063 SE ASH ST
PORTLAND, OR 97214-2017
Phone number: 503-234-3503
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