Individual
MR. GLEN RAYMOND AKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
25500 SE STARK ST, SUITE 103, GRESHAM, OR 97030-3331
(503) 328-0222
(503) 328-0223
Mailing address
PO BOX 52194, DEPT CODE 961, PHOENIX, AZ 85072-2194
(503) 328-0222
(503) 328-0223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5023
OR
Other
Enumeration date
04/25/2006
Last updated
11/13/2008
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