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1801291745
TARA BOATMAN
PORTLAND, OR
NPI
1801291745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10125947)
Enumeration Date
2014-11-04
Last Update Date
2014-11-04
Business Address
Mrs. TARA BOATMAN ATC
0615 SW PALATINE HILL RD
PORTLAND, OR 97219-7879
Phone number: 503-768-7551
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Mailing Address
Mrs. TARA BOATMAN ATC
0615 SW PALATINE HILL RD
PORTLAND, OR 97219-7879
Phone number: 503-768-7551
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