Individual
JOSHUA LUKE KNEESHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5847 NE 122ND AVE, #101, PORTLAND, OR 97230-1079
(503) 252-2556
(503) 252-2584
Mailing address
1825 N WILLIAMS AVE, PORTLAND, OR 97227-1864
(503) 288-2615
(503) 288-0339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3751
OR
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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