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1861716003
JEFF CONLON
PORTLAND, OR
NPI
1861716003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09414)
Enumeration Date
2010-03-17
Last Update Date
2023-05-05
Business Address
Mr. JEFF CONLON PTA
11795 NW CEDAR FALLS DR
PORTLAND, OR 97229-2786
Phone number: 503-350-3400
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Mailing Address
Mr. JEFF CONLON PTA
8100 SW NYBERG ST STE 200
TUALATIN, OR 97062-8437
Phone number: 503-570-3665
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