Individual
DANIEL ERNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12011 SW 70TH AVE, TIGARD, OR 97223-9634
(503) 213-2020
Mailing address
14258 SW 132ND PL, TIGARD, OR 97224-6116
(503) 332-6427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL. 0012639
CO
Other
Enumeration date
06/08/2014
Last updated
06/08/2014
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