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1942773437
THERON LEE
PORTLAND, OR
NPI
1942773437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62547)
Enumeration Date
2019-01-07
Last Update Date
2019-01-07
Business Address
THERON LEE
1475 SE 100TH AVE
PORTLAND, OR 97216-2537
Phone number: 503-262-6000
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Mailing Address
THERON LEE
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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