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1710405238
NATALIE JO ELLIS
PORTLAND, OR
NPI
1710405238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62405)
Enumeration Date
2017-09-05
Last Update Date
2017-09-05
Business Address
NATALIE JO ELLIS DPT
39 NE 102ND AVE
PORTLAND, OR 97220-4103
Phone number: 503-252-2461
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Mailing Address
NATALIE JO ELLIS DPT
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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