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Michael Mulligan, PTA
NPI 1104139229 · on the registry since 2010
Practice
- Address
- 4855 Sw Western Ave
Beaverton, OR 97005 - Phone
- (503) 526-7449
- Fax
- (503) 277-1365
- Organisation at this address
- Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The NorthwestInferred from a shared address, not stated in the registry. - Clinicians at this address
- 179
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon