Individual
KEVIN MOHNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8810 SE SUNNYBROOK BLVD STE 100, CLACKAMAS, OR 97015-6805
(503) 607-2226
Mailing address
8810 SE SUNNYBROOK BLVD STE 100, CLACKAMAS, OR 97015-6805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08568
OR
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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