Individual
TYE FORSHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 SE 202ND AVE, PORTLAND, OR 97233-6105
(503) 665-3118
Mailing address
2750 NE ELLIOTT AVE, GRESHAM, OR 97030-2863
(208) 631-9244
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09532
OR
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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