Individual
STEPHEN BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10450 SW MCDONALD ST, APT 61, TIGARD, OR 97224-4814
(971) 222-8178
Mailing address
10450 SW MCDONALD ST, APT 61, TIGARD, OR 97224-4814
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3602
OR
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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