Individual
OSAHON OGBOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12518 NE AIRPORT WAY STE 110, PORTLAND, OR 97230-1090
(503) 256-2992
Mailing address
5625 E BURNSIDE ST APT 305, PORTLAND, OR 97215-1056
(480) 616-0052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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