Individual
MR. MICHAEL K DORRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4876 NW BETHANY BLVD, SUITE3 L-1, PORTLAND, OR 97229-9259
(503) 443-6156
(503) 639-9699
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(503) 443-6156
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5184
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240066
—
OR
01
—
R165443
MEDICARE
OR
01
—
R166480
MEDICARE
OR
Enumeration date
08/31/2006
Last updated
06/19/2017
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