CONNOR MICKELSON

SEATTLE, WA
NPI1972159945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  60956900)
Enumeration Date2019-08-14
Last Update Date2019-08-14
Business Address
CONNOR MICKELSON
3121 E MADISON ST STE 201
SEATTLE, WA 98112-4259
Phone number: 206-324-5389
Mailing Address
CONNOR MICKELSON
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 503-443-6156
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