PHOENIX GREENMAN

PORTLAND, OR
NPI1073744967
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  15823)
Enumeration Date2009-07-27
Last Update Date2009-07-27
Business Address
Mr. PHOENIX GREENMAN LMT
3327 SE HAWTHORNE BLVD
PORTLAND, OR 97214-5046
Phone number: 503-577-5512
Mailing Address
Mr. PHOENIX GREENMAN LMT
836 NE 78TH AVE
PORTLAND, OR 97213-6957
Phone number: 503-577-5512
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