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Individual

MR. KEITH GLASSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
511 SW 10TH AVE, SUITE 101, PORTLAND, OR 97205-2732
(503) 294-7463
(503) 294-7405
Mailing address
511 SW 10TH AVE, SUITE 101, PORTLAND, OR 97205-2732
(503) 294-7463
(503) 294-7405

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2664
OR

Other

Enumeration date
10/12/2006
Last updated
03/11/2013
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