Individual
KEVIN MORIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8300
Mailing address
10330 SE 32ND AVE STE 105, MILWAUKIE, OR 97222-6596
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62721
OR
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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