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1770338774
LORI KUSHIYAMA
PORTLAND, OR
NPI
1770338774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 1768)
Enumeration Date
2024-04-22
Last Update Date
2024-04-22
Business Address
LORI KUSHIYAMA
11855 NE GLENN WIDING DR
PORTLAND, OR 97220-9057
Phone number: 971-219-0538
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Mailing Address
LORI KUSHIYAMA
11855 NE GLENN WIDING DR
PORTLAND, OR 97220-9057
Phone number: 971-219-0538
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PREMERE REHAB LLC