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Individual

JAMES WAYNE FRESHNER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4800 NE BELKNAP CT, HILLSBORO, OR 97124-6441
(503) 268-4550
(503) 268-4551
Mailing address
15973 NW GRAF ST, PORTLAND, OR 97229-9212
(503) 614-1829

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3663
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
243049
OR
Enumeration date
06/14/2006
Last updated
07/09/2007
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