Individual
STEPHEN MATTHEW BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
24076 SE STARK ST, GRESHAM, OR 97030-3373
(503) 491-1666
(503) 491-1667
Mailing address
2009 SE HARNEY ST, PORTLAND, OR 97202-7408
(503) 621-8191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62323
OR
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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