Individual
MICHAEL JULIUS JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
129 NE 102ND AVE STE F, PORTLAND, OR 97220-4102
(503) 253-0924
(503) 256-5469
Mailing address
11481 SW HALL BLVD, STE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0365
OR
225100000X
Physical Therapist
6477
CA
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32859
—
OR
Enumeration date
11/18/2005
Last updated
11/08/2007
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