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1790167781
EMERY JAMES FAIRCHILD
WILSONVILLE, OR
NPI
1790167781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2015-06-25
Last Update Date
2015-06-25
Business Address
Mr. EMERY JAMES FAIRCHILD PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 503-570-3315
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Mailing Address
Mr. EMERY JAMES FAIRCHILD PTA
11850 SW ALLEN BLVD
BEAVERTON, OR 97005-4805
Phone number: 503-646-7164
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