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Individual

DR. GARY JAMES ANGLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT CMP

Contact information

Practice address
601 N 1ST ST, STAYTON, OR 97383-1704
(503) 769-3123
(503) 769-3176
Mailing address
601 N 1ST ST, STAYTON, OR 97383-1704
(503) 769-3123
(503) 769-3176

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4435
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182879
OR
Enumeration date
03/20/2006
Last updated
03/17/2018
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