Mike Stuart Davis PTA

NPI 1659578557 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1659578557
Gender Male
Enumeration Date 07/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
PORTLAND OR, 97221-2409, US
Phone (503) 297-3003
Fax (503) 297-9414
Business Location
1102 RYAN CT
WEST LINN OR, 97068-4034, US
Phone (503) 655-5698
Taxonomy Code 225200000X
License State Montana
License Number 1353
Remove 1659578557 NPI Number

According to our database, Mike Stuart Davis PTA NPI is 1659578557, taxonomy code is 225200000X and license number is 1353, license state is located at Montana. Mike Stuart Davis PTA physically located at 5415 Sw Westgate Dr Ste L3, Portland OR, 97221-2409. NPI Number Mike Stuart Davis PTA has the Individual type.

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1659578557 NPI number is provided on an as is basis without warranty of any kind. 1659578557 is maintained by the National Plan & Provider Enumeration System. The contents of Mike Stuart Davis PTA are for informational purposes only.