Individual
DYLAN JITSUO ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14766 SW SCHOLLS FERRY RD APT 1236, BEAVERTON, OR 97007-8984
(808) 936-2414
Mailing address
14766 SW SCHOLLS FERRY RD APT 1236, BEAVERTON, OR 97007-8984
(808) 936-2414
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
65050
OR
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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