Individual
MATTHEW DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9615 SW 62ND AVE, PORTLAND, OR 97219-4920
(304) 671-1304
Mailing address
9615 SW 62ND AVE, PORTLAND, OR 97219-4920
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
61933
OR
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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