Individual
GREGORY OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 SE 100TH AVE, PORTLAND, OR 97216-2537
(503) 262-6000
Mailing address
2945 NE 25TH AVE, PORTLAND, OR 97212-3460
(503) 505-4107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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