MICHAEL OXENTENKO

GRESHAM, OR
NPI1558487116
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  1040)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
-- MICHAEL OXENTENKO
5905 SE POWELL VALLEY RD
GRESHAM, OR 97080-1919
Phone number: 503-665-1151
Mailing Address
-- MICHAEL OXENTENKO
43131 SE MUSIC CAMP RD
SANDY, OR 97055-8463
Phone number: 503-665-1151
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