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1750731444
DIANA LYNN MCDOUGAL
PORTLAND, OR
NPI
1750731444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 7571)
Enumeration Date
2016-06-14
Last Update Date
2016-06-14
Business Address
-- DIANA LYNN MCDOUGAL LPTA
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
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Mailing Address
-- DIANA LYNN MCDOUGAL LPTA
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
Copy
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