Phoenix Greenman LMT

NPI 1073744967 - Mechanotherapist - 172M00000X

NPI Details
NPI 1073744967
Gender Male
Enumeration Date 07/27/2009
Last Updated 07/27/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
PORTLAND OR, 97214-5046, US
Phone (503) 577-5512
Business Location
836 NE 78TH AVE
PORTLAND OR, 97213-6957, US
Phone (503) 577-5512
Taxonomy Code 172M00000X
License State Oregon
License Number 15823
Remove 1073744967 NPI Number

According to our database, Mr. Phoenix Greenman LMT NPI is 1073744967, taxonomy code is 172M00000X and license number is 15823, license state is located at Oregon. Phoenix Greenman LMT physically located at 3327 Se Hawthorne Blvd, Portland OR, 97214-5046. NPI Number Phoenix Greenman LMT has the Individual type.

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1073744967 NPI number is provided on an as is basis without warranty of any kind. 1073744967 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Greenman LMT are for informational purposes only.