Individual
MR. CLEM GEORGE EISCHEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
24076 SE STARK ST, GRESHAM, OR 97030-3162
(503) 491-1666
Mailing address
31541 SE DIVISION DR, TROUTDALE, OR 97060-8422
(503) 663-2425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1517
OR
Other
Enumeration date
11/14/2005
Last updated
04/23/2018
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