Individual
TY A BOMMERSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2695 SW CEDAR HILLS BLVD STE 140, BEAVERTON, OR 97005-1415
(503) 850-9950
(866) 252-2247
Mailing address
2695 SW CEDAR HILLS BLVD STE 140, BEAVERTON, OR 97005-1415
(503) 850-9950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62978
OR
Other
Enumeration date
12/29/2016
Last updated
06/16/2021
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