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1700833340
RENE CHANGSUT
PORTLAND, OR
NPI
1700833340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
226300000X Kinesiotherapist
(Licence: 1115)
Enumeration Date
2006-05-28
Last Update Date
2007-07-08
Business Address
Mr. RENE CHANGSUT RKT
1007 E BURNSIDE
PORTLAND, OR 97214
Phone number: 503-762-1522
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Mailing Address
Mr. RENE CHANGSUT RKT
1841 SE 150TH AVENUE
PORTLAND, OR 97233
Phone number: 503-762-1522
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