Individual
TALOR LEE-STILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 NE 75TH AVE, PORTLAND, OR 97213-6315
(971) 563-7770
Mailing address
2216 SE 50TH AVE, PORTLAND, OR 97215-3827
(971) 563-7770
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
22278
OR
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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