Individual
NICHOLAS ING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9828 E BURNSIDE ST STE 250, PORTLAND, OR 97216-2365
(503) 254-3424
(503) 254-3424
Mailing address
9828 E BURNSIDE ST STE 250, PORTLAND, OR 97216-2365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62429
OR
Other
Enumeration date
09/15/2017
Last updated
03/17/2018
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