Individual
MR. MATTHEW DOMINIC ZIBILICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 721-7837
Mailing address
1717 SW PARK AVE APT 323, PORTLAND, OR 97201-3235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5376
OR
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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