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1770083446
DOUGLAS NOLAND BENNETT
WILSONVILLE, OR
NPI
1770083446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62607)
Enumeration Date
2018-02-19
Last Update Date
2018-02-19
Business Address
DOUGLAS NOLAND BENNETT DPT, CSCS
25030 SW PARKWAY AVE STE 100
WILSONVILLE, OR 97070-9816
Phone number: 503-582-1073
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Mailing Address
DOUGLAS NOLAND BENNETT DPT, CSCS
13525 SW ARAGON ST
BEAVERTON, OR 97005-0820
Phone number: 971-570-6818
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