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1841078276
JACOB JOHNSTON
BEAVERTON, OR
NPI
1841078276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
JACOB JOHNSTON
3925 SW 153RD DR
BEAVERTON, OR 97003-4166
Phone number: 971-727-8155
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Mailing Address
JACOB JOHNSTON
205 NW 16TH AVE APT 2
PORTLAND, OR 97209-2648
Phone number:
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