Individual
MR. MARK DANIEL BOYNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5129
(971) 206-5209
Mailing address
7916 SE HENRY ST, PORTLAND, OR 97206
(707) 540-3267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8453
OR
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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