LOGAN THOMAS RICHARDSON

CORVALLIS, OR
NPI1124372404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  06993)
Enumeration Date2012-11-07
Last Update Date2013-02-18
Business Address
-- LOGAN THOMAS RICHARDSON P.T.
996 NW CIRCLE BLVD SUITE 101
CORVALLIS, OR 97330-1485
Phone number: 541-757-0878
Mailing Address
-- LOGAN THOMAS RICHARDSON P.T.
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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