Individual
MR. MICHAEL JAMES GORES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1166 E 28TH AVE, EUGENE, OR 97403-1615
(541) 345-0534
Mailing address
2021 ALDABRA ST, EUGENE, OR 97402-1001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
26884
CA
225100000X
Physical Therapist
Primary
4636
OR
Other
Enumeration date
03/06/2006
Last updated
07/08/2007
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