Individual
CALEB MATLOCK DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23410 E MISSION AVE STE 2, LIBERTY LAKE, WA 99019-7515
(509) 891-2258
(509) 891-2094
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60825475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097724
—
WA
Enumeration date
08/14/2015
Last updated
04/16/2018
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