William Backus

NPI 1487047098 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1487047098
Gender Male
Enumeration Date 03/07/2015
Last Updated 03/07/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3060 SE STARK ST
PORTLAND OR, 97214-3053, US
Phone (503) 535-4700
Fax
Business Location
25117 SW PARKWAY AVE
SUITE D
WILSONVILLE OR, 97070-9697, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Oregon
License Number 09127
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According to our database, William Backus NPI is 1487047098, taxonomy code is 225200000X and license number is 09127, license state is located at Oregon. William Backus physically located at 3060 Se Stark St, Portland OR, 97214-3053. NPI Number William Backus has the Individual type.

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1487047098 NPI number is provided on an as is basis without warranty of any kind. 1487047098 is maintained by the National Plan & Provider Enumeration System. The contents of William Backus are for informational purposes only.