Individual
STEVEN MASSINGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3550 SW BOND AVE, PORTLAND, OR 97239-4507
(503) 688-6573
(503) 688-6602
Mailing address
3550 SW BOND AVE, PORTLAND, OR 97239-4507
(503) 688-6573
(503) 688-6602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08857
OR
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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