Individual
MR. MAXIMILIAN TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4602 SW 53RD AVE, PORTLAND, OR 97221
(971) 533-4446
Mailing address
4602 SW 53RD AVE, PORTLAND, OR 97221
(971) 533-4446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09670
OR
225200000X
Physical Therapy Assistant
P160856867
WA
Other
Enumeration date
09/22/2018
Last updated
09/22/2018
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