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Search › Oregon › 225200000X

Mark Anderson, PTA

NPI 1548533193 · on the registry since 2012

Practice

Address
14645 Sw Farmington Rd.
Beaverton, OR 97007
Phone
(503) 718-5355
Fax
(971) 206-5203
Organisation at this address
Maryville Nursing Home
Sisters Of St. Mary Of Oregon Maryville Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-13

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