Individual
DAVID MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5330 NE PRESCOTT ST, PORTLAND, OR 97218-2158
(503) 288-6585
Mailing address
5330 NE PRESCOTT ST, PORTLAND, OR 97218-2158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61191
OR
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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