Individual
MR. DEXTER JAY CAROLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3250 NE BROADWAY ST # 449, PORTLAND, OR 97232-1815
(808) 352-7386
Mailing address
3250 NE BROADWAY ST # 449, PORTLAND, OR 97232-1815
(808) 352-7386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60871
OR
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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