Individual
DR. AMADOR ANTONIO MARCANO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
19201 SE DIVISION ST STE 100, GRESHAM, OR 97030-5333
(503) 405-8235
Mailing address
336 LIVINGOOD LN, LAKE OSWEGO, OR 97034-5957
(503) 572-8309
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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