Individual
BEN PAUL MUSHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
10600 SE MCLOUGHLIN BLVD, SUITE 202, MILWAUKIE, OR 97222-7428
(503) 496-0385
(866) 631-9368
Mailing address
PO BOX 22499, MILWAUKIE, OR 97269-2499
(503) 496-0385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04301
OR
Other
Enumeration date
10/30/2008
Last updated
05/04/2009
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