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Individual

CHANTE NOEL LARLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, OCS

Contact information

Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
Mailing address
13432 ROGERS RD, LAKE OSWEGO, OR 97035-6754

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5430
OR

Other

Enumeration date
04/06/2020
Last updated
04/06/2020
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