Individual
ERIC-PAUL SPARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17360 HOLY NAMES DR, LAKE OSWEGO, OR 97034-5191
(503) 636-0235
(503) 636-0421
Mailing address
17360 HOLY NAMES DR, LAKE OSWEGO, OR 97034-5191
(503) 636-0235
(503) 636-0421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08598
OR
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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