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1730856113
OSCAR RAVE
PORTLAND, OR
NPI
1730856113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63571)
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
OSCAR RAVE
909 SW 18TH AVE
PORTLAND, OR 97205-1705
Phone number: 503-297-7678
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Mailing Address
OSCAR RAVE
1470 NW GLISAN ST
PORTLAND, OR 97209-4084
Phone number: 954-864-5138
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