Individual
MR. BRANDON PAUL MASCARENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
270 NW BURNSIDE RD, GRESHAM, OR 97030
(503) 215-9146
(503) 215-9149
Mailing address
3005 E 14TH AVE, APT.#6, DENVER, CO 80206-2538
(303) 460-0329
(303) 460-0387
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
11345
CO
2251X0800X
Orthopedic Physical Therapist
Primary
60059
OR
Other
Enumeration date
11/07/2011
Last updated
08/01/2018
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