Individual
MR. PATRICK C. PUA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9828 E BURNSIDE ST, PORTLAND, OR 97216-2354
(503) 254-3424
(503) 254-3635
Mailing address
4001 SE LINCOLN ST, PORTLAND, OR 97214-5956
(503) 254-3424
(503) 254-3635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2259
OR
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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