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1932665551
ISAIAH BUCHANAN
PORTLAND, OR
NPI
1932665551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 413578)
Enumeration Date
2019-02-19
Last Update Date
2019-02-19
Business Address
ISAIAH BUCHANAN COTA/L
6040 SE BELMONT ST
PORTLAND, OR 97215-1974
Phone number: 503-231-7166
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Mailing Address
ISAIAH BUCHANAN COTA/L
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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