Russell Wade Cree MPT

NPI 1184706764 - Physical Therapist - 225100000X

NPI Details
NPI 1184706764
Gender Male
Enumeration Date 10/20/2006
Last Updated 03/22/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1420 NW 17TH AVE STE 388
PORTLAND OR, 97209-2447, US
Phone (503) 501-8121
Fax
Business Location
1420 NW 17TH AVE STE 388
PORTLAND OR, 97209-2447, US
Phone (503) 501-8121
Fax
Toxanomy
Taxonomy Code 225100000X
License State Washington
License Number PT00009380
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According to our database, Russell Wade Cree MPT NPI is 1184706764, taxonomy code is 225100000X and license number is PT00009380, license state is located at Washington. Russell Wade Cree MPT physically located at 1420 Nw 17th Ave Ste 388, Portland OR, 97209-2447. NPI Number Russell Wade Cree MPT has the Individual type.

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1184706764 NPI number is provided on an as is basis without warranty of any kind. 1184706764 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Wade Cree MPT are for informational purposes only.