GREG S. MACKNIGHT

PORTLAND, OR
NPI1083800981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  8473)
Enumeration Date2007-09-24
Last Update Date2015-06-10
Business Address
GREG S. MACKNIGHT PTA
4016 NE FREMONT ST
PORTLAND, OR 97212-1952
Phone number: 971-678-7422
Mailing Address
GREG S. MACKNIGHT PTA
5020 SE TOLMAN ST
PORTLAND, OR 97206-6974
Phone number: