TIMOTHY GRANT MADISON

PORTLAND, OR
NPI1770037079
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  60900)
Enumeration Date2016-08-04
Last Update Date2016-08-04
Business Address
Dr. TIMOTHY GRANT MADISON PT, DPT
1260 SW 66TH AVE APT 5100
PORTLAND, OR 97225-6077
Phone number: 503-869-3664
Mailing Address
Dr. TIMOTHY GRANT MADISON PT, DPT
1260 SW 66TH AVE APT 5100
PORTLAND, OR 97225-6077
Phone number: 503-869-3664
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