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Organization

PORTLAND SPORTS MEDICINE & SPINE PHYSICAL THERAPY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL PAUL QUESNELL P.T. (PHYSICAL THERAPIST)
(503) 230-1744
Entity
Organization

Contact information

Practice address
1610 SE GLENWOOD ST, PORTLAND, OR 97202-5615
(503) 230-1744
(503) 230-1745
Mailing address
1610 SE GLENWOOD ST, PORTLAND, OR 97202-5615
(503) 230-1744
(503) 230-1745

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4503
OR

Other

Enumeration date
07/30/2007
Last updated
07/30/2007
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