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Organization
CAROL R CONRADES
Active
Organization
CAROL R CONRADES
Active
Other names
Orthodpedic & TMJ Physical Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL RAY CONRADES PT (OWNER)
(502) 777-6746
Entity
Organization
Contact information
Practice address
9204 SE MITCHELL ST, PORTLAND, OR 97266
(503) 777-6746
(503) 777-0023
Mailing address
9204 SE MITCHELL ST, PORTLAND, OR 97266
(503) 777-6746
(503) 777-0023
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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