Individual
DYLAN WILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19721 OR 213, OREGON CITY, OR 97045
(503) 305-8455
Mailing address
12660 SE SHELL LN, MILWAUKIE, OR 97222-8806
(541) 505-0120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63260
OR
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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