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Individual

JAMES ARTHUR GORHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
(541) 975-2720
Mailing address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
(541) 975-2720

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4044
OR
225100000X
Physical Therapist
PT00007583
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
233341
OR
Enumeration date
11/16/2005
Last updated
07/10/2007
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