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1952005274
ELLEN MEKJAVICH
PORTLAND, OR
NPI
1952005274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: OR 327732)
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
ELLEN MEKJAVICH OTR/L
4138 SE CLINTON ST
PORTLAND, OR 97202-1639
Phone number: 503-539-0460
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Mailing Address
ELLEN MEKJAVICH OTR/L
4138 SE CLINTON ST
PORTLAND, OR 97202-1639
Phone number: 503-539-0460
Copy
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