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Search › Oregon › 225200000X

Mike Davis, PTA

NPI 1659578557 · on the registry since 2007 · sole proprietor

Practice

Address
5415 Sw Westgate Dr Ste L3
Portland, OR 97221
Phone
(503) 297-3003
Fax
(503) 297-9414
Organisation at this address
Lifeworks Nw
Horizon House
Hazelwood House
Lifeworks Northwest
Lifeworks Northwest
Inferred from a shared address, not stated in the registry.
Clinicians at this address
169

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
MT, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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