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1942401351
DONNA LIANNE JACKSON
LAKE OSWEGO, OR
NPI
1942401351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2081)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
DONNA LIANNE JACKSON PT
4035 MERCANTILE DR SUITE 108
LAKE OSWEGO, OR 97035-2546
Phone number: 503-216-2788
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Mailing Address
DONNA LIANNE JACKSON PT
11546 SW LAKEVIEW TER
TIGARD, OR 97223-7859
Phone number: 503-524-4249
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