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Individual

RILEY EUGENE ENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 364-0611
(971) 364-0610
Mailing address
16259 SYLVESTER RD SW STE 102, BURIEN, WA 98166-3094
(206) 535-2599

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161441541
WA
225200000X
Physical Therapy Assistant
PTA28243
FL

Other

Enumeration date
06/09/2021
Last updated
07/31/2023
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