Individual
CHASE STEVEN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
845 SW 30TH ST, CORVALLIS, OR 97331-8629
(541) 768-7700
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65324
OR
Other
Enumeration date
05/28/2024
Last updated
12/20/2024
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