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Individual

GRETA YEADON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12200 SE MCLOUGHLIN BLVD, 3201, MILWAUKIE, OR 97222-7281
(508) 713-2165
Mailing address
12200 SE MCLOUGHLIN BLVD, 3201, MILWAUKIE, OR 97222-7281

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09138
OR

Other

Enumeration date
10/22/2015
Last updated
10/22/2015
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