Individual
MARYLYNN GORDON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2611 N BRYANT ST, PORTLAND, OR 97217-5263
(971) 275-0278
Mailing address
2611 N BRYANT ST, PORTLAND, OR 97217-5263
(971) 275-0278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61706
OR
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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