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Individual

MR. MARLAND KERN ARMSTRONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2120 EXCHANGE ST STE 104, ASTORIA, OR 97103-3366
(503) 325-7711
Mailing address
91832 HIGHWAY 104, WARRENTON, OR 97146-7247
(503) 861-3586

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0715
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
229773
OR
Enumeration date
03/12/2007
Last updated
07/08/2007
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