Individual
MR. KRISTOFFER MARQUEZ MANOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 100, CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5167
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100, CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5167
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5061
OR
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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