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1730761636
TYLER LEE HENRY
MILWAUKIE, OR
NPI
1730761636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 316374)
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
TYLER LEE HENRY COTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 503-535-4300
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Mailing Address
TYLER LEE HENRY COTA
2314 NW 168TH PL
BEAVERTON, OR 97006-8069
Phone number:
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