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Individual

MARGARET FLORENCE BERRY BURETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9700 SW CAPITOL HWY STE 150, PORTLAND, OR 97219-5290
(503) 244-6232
(503) 296-2305
Mailing address
9700 SW CAPITOL HWY STE 150, PORTLAND, OR 97219-5290

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6541
OR
2251S0007X
Sports Physical Therapist
6541
OR
2251X0800X
Orthopedic Physical Therapist
Primary
6541
OR

Other

Enumeration date
10/03/2011
Last updated
10/03/2011
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