Individual
MR. DOUGLAS BRYAN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1441 SW CHANDLER AVE, SUITE 103, BEND, OR 97702-3221
(541) 312-2252
(541) 312-8822
Mailing address
1441 SW CHANDLER AVE, SUITE 103, BEND, OR 97702-3221
(541) 312-2252
(541) 312-8822
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6165
OR
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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