Individual
THOMAS MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61764
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500710117
—
OR
01
—
61764
LICENSE
OR
Enumeration date
06/21/2016
Last updated
04/25/2019
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