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1710200712
ANDREW RAGER
BEAVERTON, OR
NPI
1710200712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10135104)
Enumeration Date
2010-03-04
Last Update Date
2010-03-04
Business Address
-- ANDREW RAGER ATC
1 BOWERMAN DR
BEAVERTON, OR 97005-0979
Phone number: 503-532-5145
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Mailing Address
-- ANDREW RAGER ATC
1898 NW 193RD AVE UNIT 201
BEAVERTON, OR 97006-6227
Phone number: 503-435-9228
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