Individual
ANDREW BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
6056 NE WILLOW ST, PORTLAND, OR 97213-4370
(503) 704-6928
Mailing address
6056 NE WILLOW ST, PORTLAND, OR 97213-4370
(503) 704-6928
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
03/17/2018
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