Individual
MICAH DANIEL FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1914 WILLAMETTE FALLS DR, SUITE 230, WEST LINN, OR 97068-4688
(503) 387-5449
(503) 342-6846
Mailing address
1914 WILLAMETTE FALLS DR, SUITE 230, WEST LINN, OR 97068-4688
(503) 387-5449
(503) 342-6846
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6623
OR
Other
Enumeration date
09/28/2011
Last updated
09/30/2011
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