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Individual

MATTHEW DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1955 DALLAS HWY NW, STE 1200, SALEM, OR 97304-4466
(503) 362-4101
Mailing address
377 NW JASPER ST, DALLAS RETIRMENT VILLAGE, LARGE CONFERENCE ROOM, DALLAS, OR 97338-1279
(503) 623-1844

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05859
OR

Other

Enumeration date
02/19/2014
Last updated
02/19/2014
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