Individual
MR. MARK J KASEWETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 885-5352
Mailing address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 885-5352
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8037
OR
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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