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1750742052
TYLER KING
PORTLAND, OR
NPI
1750742052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR T09280)
Enumeration Date
2016-03-14
Last Update Date
2016-03-14
Business Address
Mr. TYLER KING PTA
5701 SW MULTNOMAH BLVD
PORTLAND, OR 97219-3195
Phone number: 503-244-1107
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Mailing Address
Mr. TYLER KING PTA
4000 DUNWOODY PARK APT 5207
DUNWOODY, GA 30338-7950
Phone number: 503-810-3223
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