Individual
IAN MCVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7412 SW BEAVERTON HILLSDALE HWY STE 110, PORTLAND, OR 97225-2167
(503) 616-0313
Mailing address
6244 SW 208TH TER, BEAVERTON, OR 97078-8695
(760) 641-1721
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9925
OR
Other
Enumeration date
05/16/2016
Last updated
08/22/2023
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