Individual
SCOTT PURACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1215 SE 8TH AVE STE D, PORTLAND, OR 97214-3497
(503) 248-0360
Mailing address
2250 NE GLISAN ST APT 406, PORTLAND, OR 97232-3531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62350
OR
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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