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1912167107
LYSSE E WARING
PORTLAND, OR
NPI
1912167107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 221844)
Enumeration Date
2008-06-11
Last Update Date
2012-04-18
Business Address
Ms. LYSSE E WARING M.O.T.R/L
13505 SE RIVER RD
PORTLAND, OR 97222-8038
Phone number: 503-652-4011
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Mailing Address
Ms. LYSSE E WARING M.O.T.R/L
920 SE 31ST AVE
PORTLAND, OR 97214-4067
Phone number: 503-703-6445
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