MARK KEVIN GUMTANG

PORTLAND, OR
NPI1801463831
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  64108)
Enumeration Date2021-06-08
Last Update Date2021-06-08
Business Address
Dr. MARK KEVIN GUMTANG PT, DPT
2512 SE 109TH AVE
PORTLAND, OR 97266-1215
Phone number: 503-388-3755
Mailing Address
Dr. MARK KEVIN GUMTANG PT, DPT
7067 SE BLANTON ST APT 5304
HILLSBORO, OR 97123-2701
Phone number: 808-282-1195
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