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1790976132
JOSHA MOSS
PORTLAND, OR
NPI
1790976132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 8455)
Enumeration Date
2007-08-08
Last Update Date
2007-08-08
Business Address
-- JOSHA MOSS PTA
5601 SE 122ND AVE
PORTLAND, OR 97236-4601
Phone number: 503-761-3181
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Mailing Address
-- JOSHA MOSS PTA
1167 NW WALLULA AVE APT 112
GRESHAM, OR 97030-3667
Phone number: 503-761-3181
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