Individual
MR. MICHAEL JHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 100, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Mailing address
513 LEXINGTON AVE, EL CERRITO, CA 94530
(510) 527-5303
(510) 527-3150
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT4055
CA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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