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1952876005
RYAN HOWARD LEA-BOU
PORTLAND, OR
NPI
1952876005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09659)
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
RYAN HOWARD LEA-BOU
3540 SE FRANCIS ST
PORTLAND, OR 97202-3350
Phone number: 503-232-5767
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Mailing Address
RYAN HOWARD LEA-BOU
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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