Individual
BLAKE GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51385 SW OLD PORTLAND RD STE E, SCAPPOOSE, OR 97056-4062
(503) 543-7768
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65565
OR
225100000X
Physical Therapist
—
NV
Other
Enumeration date
04/05/2024
Last updated
12/18/2024
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