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1720695968
JULIANNA MARIE MCNICHOLAS
PORTLAND, OR
NPI
1720695968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 443532)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
JULIANNA MARIE MCNICHOLAS OTD, OTR/L
1475 SE 100TH AVE
PORTLAND, OR 97216-2537
Phone number: 503-262-6000
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Mailing Address
JULIANNA MARIE MCNICHOLAS OTD, OTR/L
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 703-226-9785
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