Individual
MR. ZACHARY DAVID TOWNLEY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
Mailing address
3008 SW EMERALD AVE, GRESHAM, OR 97080-5462
(503) 929-6119
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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