Individual
RALEIGH B CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3043 NE 28TH ST, LINCOLN CITY, OR 97367-4518
(541) 996-7160
(541) 996-7223
Mailing address
93 NE INDIAN SHRS, LINCOLN CITY, OR 97367-3652
(541) 994-8868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2909
OR
2251N0400X
Neurology Physical Therapist
2909
OR
2251X0800X
Orthopedic Physical Therapist
2909
OR
Other
Enumeration date
11/07/2006
Last updated
12/01/2009
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