BLAKE GOLDEN

SCAPPOOSE, OR
NPI1790537306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  65565)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2024-04-05
Last Update Date2024-12-18
Business Address
BLAKE GOLDEN
51385 SW OLD PORTLAND RD STE E
SCAPPOOSE, OR 97056-4062
Phone number: 503-543-7768
Mailing Address
BLAKE GOLDEN
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 60515-1211
Phone number: 866-370-8206
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