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Individual

MR. MICHAEL FEELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.P.T.

Contact information

Practice address
2725 SE STEELE ST, PORTLAND, OR 97202-4617
(503) 234-4858
(503) 234-3227
Mailing address
2725 SE STEELE ST, PORTLAND, OR 97202-4617
(503) 234-4858
(503) 234-3227

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1191
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156257
OR
Enumeration date
11/19/2007
Last updated
11/19/2007
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