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1790977072
ROBERTA MARIE NICKELL
MILWAUKIE, OR
NPI
1790977072
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Former Name
ROBERTA MARIE PORTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 4966)
Enumeration Date
2007-08-10
Last Update Date
2007-08-10
Business Address
MRS. ROBERTA MARIE NICKELL OTRL
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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Mailing Address
MRS. ROBERTA MARIE NICKELL OTRL
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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