Individual
BRIAN DAVID EUBANKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
10466 SE MAIN ST, MILWAUKIE, OR 97222-7509
(503) 353-9976
(503) 353-9777
Mailing address
101 S STATE ST, SUITE 200G, LAKE OSWEGO, OR 97034-3900
(503) 860-6242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4138
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232013
—
OR
Enumeration date
03/09/2006
Last updated
07/08/2007
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