Individual
PAUL ENDISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9370 SW GREENBURG RD STE M, PORTLAND, OR 97223-5408
(503) 200-5750
Mailing address
208 NE 141ST AVE, PORTLAND, OR 97230-3330
(408) 464-8705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
399445
OR
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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