Individual
MR. MICHAEL LORIN EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
TAI - CENTRAL OREGON REDMOND, 1315 NW 4TH STREET, SUITE B, REDMOND, OR 97756-1328
(541) 923-7494
(541) 504-9153
Mailing address
THERAPEUTIC ASSOCIATES INC., 11481 SW HALL BV STE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4121
OR
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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