Individual
JUSTIN L. LLAMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10126 SW PARK WAY, PORTLAND, OR 97225-5008
(503) 215-4646
Mailing address
2920 NW MODA WAY, APT 816, HILLSBORO, OR 97124-7024
(708) 589-5377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05008375A
IN
225100000X
Physical Therapist
Primary
06867
OR
225100000X
Physical Therapist
070019472
IL
Other
Enumeration date
08/28/2007
Last updated
04/06/2016
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