Individual
EVAN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7800 SW DURHAM RD, STE. 500, TIGARD, OR 97224-7577
(503) 937-0090
Mailing address
3600 NW 182ND PL, PORTLAND, OR 97229-3314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61065
OR
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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