JORDAN CRAIG PRUNTY

TIGARD, OR
NPI1992693808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  65742)
Enumeration Date2025-06-27
Last Update Date2025-06-27
Business Address
JORDAN CRAIG PRUNTY PT, DPT
11105 SW GREENBURG RD
TIGARD, OR 97223-5446
Phone number: 971-294-2669
Mailing Address
JORDAN CRAIG PRUNTY PT, DPT
11489 SW GABRIEL ST
TIGARD, OR 97224-4062
Phone number: 971-777-0001