Individual
MR. VINTON ROBERT MOUGEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1515 NW 18TH AVE, SUITE 400, PORTLAND, OR 97209-2515
(503) 228-1306
(503) 228-1307
Mailing address
1515 NW 18TH AVE, SUITE 400, PORTLAND, OR 97209-2515
(503) 228-1306
(503) 228-1307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0488
OR
Other
Enumeration date
07/26/2005
Last updated
07/08/2007
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