Individual
MR. PATRICK WILLIAM KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
270 N MOLALLA AVE, MOLALLA, OR 97038-8841
(503) 698-5500
(503) 557-4871
Mailing address
14851 SE 82ND DR, CLACKAMAS, OR 97015-7624
(503) 698-5500
(503) 557-4871
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5935
OR
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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