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1720802077
JORGE CHAIRES
PORTLAND, OR
NPI
1720802077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10225941)
Enumeration Date
2024-11-13
Last Update Date
2024-11-13
Business Address
Mr. JORGE CHAIRES ATC, LAT
5703 N MARINE DR
PORTLAND, OR 97203-6439
Phone number: 541-806-2709
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Mailing Address
Mr. JORGE CHAIRES ATC, LAT
1609 AUSTIN AVE
WOODBURN, OR 97071-6012
Phone number: 541-806-2709
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