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1841402955
LAWRENCE ANDES
PORTLAND, OR
NPI
1841402955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 0613)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- LAWRENCE ANDES PT
5420 NE GLISAN ST
PORTLAND, OR 97213-3063
Phone number: 503-215-4033
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Mailing Address
-- LAWRENCE ANDES PT
4258 SE 15TH ST
GRESHAM, OR 97080-9121
Phone number: 503-661-3851
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