Individual
MR. JOE J PATERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3016 NE BROADWAY ST, PORTLAND, OR 97232-1811
(503) 287-6636
(503) 287-4044
Mailing address
2444 NE 49TH AVE, PORTLAND, OR 97213-1928
(503) 284-9288
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1187
OR
Other
Enumeration date
11/22/2005
Last updated
11/01/2007
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