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1932179025
ELIZABETH A BLACK
GRESHAM, OR
NPI
1932179025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4462)
Enumeration Date
2006-01-23
Last Update Date
2007-07-08
Business Address
ELIZABETH A BLACK BS PT
7927 SE ORIENT DR
GRESHAM, OR 97080
Phone number: 503-663-0332
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Mailing Address
ELIZABETH A BLACK BS PT
6954 NE DAVIS ST
PORTLAND, OR 97213
Phone number: 503-235-0930
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