JACK ANDERSON

BEAVERTON, OR
NPI1205400702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  64087)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2021-05-18
Last Update Date2025-03-06
Business Address
JACK ANDERSON DPT
5465 SW WESTERN AVE STE H
BEAVERTON, OR 97005-4179
Phone number: 503-610-9281
Mailing Address
JACK ANDERSON DPT
5465 SW WESTERN AVE STE H
BEAVERTON, OR 97005-4179
Phone number: 503-610-9281
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