Individual
DR. TIMOTHY GRANT MADISON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1260 SW 66TH AVE APT 5100, PORTLAND, OR 97225-6077
(503) 869-3664
Mailing address
1260 SW 66TH AVE APT 5100, PORTLAND, OR 97225-6077
(503) 869-3664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60900
OR
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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