Individual
ERIC HERBERT VICINUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
18215 NW WEST UNION RD STE B, PORTLAND, OR 97229-2139
(971) 979-0979
Mailing address
1186 SE HIGHFIELD AVE, HILLSBORO, OR 97123-4890
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
64971
OR
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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