Individual
KENT TSURUO MORIMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
735 SW 158TH AVE, SUITE 160, BEAVERTON, OR 97006-4952
(503) 597-0035
(503) 296-2985
Mailing address
735 SW 158TH AVE, SUITE 160, BEAVERTON, OR 97006-4952
(503) 597-0035
(503) 296-2985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5015
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5015
PT LICENCE
OR
01
—
520244002
REGENCE
OR
Enumeration date
02/21/2006
Last updated
04/20/2011
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