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1962693549
MARYANN FUNK
PORTLAND, OR
NPI
1962693549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 7182)
Enumeration Date
2007-08-07
Last Update Date
2007-08-07
Business Address
MARYANN FUNK PTA
5601 SE 122ND AVE
PORTLAND, OR 97236-4601
Phone number: 503-761-3181
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Mailing Address
MARYANN FUNK PTA
12650 SW GRANT AVE APT 4
TIGARD, OR 97223-5158
Phone number: 503-761-3181
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