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Individual

KEVIN NAOTAKA ISHITANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16315 SW BARROWS RD STE 205, BEAVERTON, OR 97007-9461
(503) 521-0500
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT.PT.70069511
WA
225100000X
Physical Therapist
Primary

Other

Enumeration date
04/03/2023
Last updated
01/13/2026
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