Individual
JOSEPH PHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
24076 SE STARK ST STE 200, GRESHAM, OR 97030-3376
(503) 491-1666
Mailing address
24076 SE STARK ST STE 200, GRESHAM, OR 97030-3376
(503) 491-1666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64271
OR
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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