Individual
MR. MARC MASAYOSHI MORISHIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
(503) 666-5768
Mailing address
PO BOX 647, GRESHAM, OR 97030-0167
(503) 666-5050
(503) 666-5768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1907
OR
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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