Individual
CHAD SMURTHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9115 SW OLESON RD STE 205, PORTLAND, OR 97223-6877
(503) 245-5710
Mailing address
730 NW JOY AVE APT 4, PORTLAND, OR 97229-5883
(503) 896-0882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64230
OR
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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