RANDY DITTMAR

LAKE OSWEGO, OR
NPI1376142133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  3916)
Enumeration Date2020-10-22
Last Update Date2021-01-14
Business Address
RANDY DITTMAR PT
17550 PROVOST ST STE 201
LAKE OSWEGO, OR 97034-5199
Phone number: 503-872-2440
Mailing Address
RANDY DITTMAR PT
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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