Organization
EVOLUTION THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MARIE MULCAHEY OT (OWNER)
(503) 956-6686
Entity
Organization
Contact information
Practice address
11930 SW GREENBURG RD, PORTLAND, OR 97223-6453
(503) 956-6686
Mailing address
11930 SW GREENBURG RD, PORTLAND, OR 97223-6453
(503) 956-6686
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1006876
OR
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
About Stedi
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