Individual
ANTHONY D BODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13203 SW WELLINGTON PL, TIGARD, OR 97223-1776
(503) 336-0795
(503) 336-0795
Mailing address
13203 SW WELLINGTON PL, TIGARD, OR 97223-1776
(503) 336-0795
(503) 336-0795
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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