Individual
MR. ANTHONY MICHAEL BORCICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, LMP
Contact information
Practice address
4805 NE GLISAN ST, FIRST FLOOR NORTH TOWER, PORTLAND, OR 97213-2933
(503) 215-3219
(503) 215-7572
Mailing address
4805 NE GLISAN ST, FIRST FLOOR NORTH TOWER, PORTLAND, OR 97213-2933
(503) 215-3219
(503) 215-7572
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11005
OR
174400000X
Specialist
MA00019710
WA
Other
Enumeration date
03/27/2009
Last updated
03/30/2009
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