Individual
DYLAN SCOTT CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11105 SW GREENBURG RD, TIGARD, OR 97223-5446
(971) 294-2669
Mailing address
11105 SW GREENBURG RD, TIGARD, OR 97223-5446
(971) 294-2669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64966
OR
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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