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1801376876
TASJA DUBENKO
PORTLAND, OR
NPI
1801376876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 389249)
Enumeration Date
2018-08-18
Last Update Date
2018-08-18
Business Address
TASJA DUBENKO COTA/L
4616 N ALBINA AVE
PORTLAND, OR 97217-3012
Phone number: 503-335-9980
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Mailing Address
TASJA DUBENKO COTA/L
5558 RADELL DR SE
SALEM, OR 97317-9145
Phone number:
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