Individual
KELDON LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1800 NW UPSHUR ST STE 150, PORTLAND, OR 97209-1766
(503) 719-5318
Mailing address
1800 NW UPSHUR ST STE 150, PORTLAND, OR 97209-1766
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64835
OR
Other
Enumeration date
02/02/2023
Last updated
02/07/2023
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