Individual
MARK NEWELL MCCURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12550 SE 93RD AVE, STE 265, CLACKAMAS, OR 97015-8796
(503) 659-9155
(503) 659-7336
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2717
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126735
—
OR
05
—
1417939364
—
WA
01
—
650010218
RR MEDICARE
OR
Enumeration date
11/16/2005
Last updated
11/09/2012
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