Individual
WILL NORMANDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6125 SW BOUNDARY ST, PORTLAND, OR 97221-1019
(503) 535-4300
Mailing address
4465 SW 75TH AVE, PORTLAND, OR 97225-2102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
OR
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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