PORTLAND SPORTS MEDICINE & SPINE PHYSICAL THERAPY INC.
Restorative Service Providers at Glenwood St, Portland, OR

License number
Oregon 4503
Category
Restorative Service Providers
Type
Orthopedic
Owner
Name: MR. MICHAEL PAUL QUESNELL P.T.
Title: PHYSICAL THERAPIST
Phone: (503) 230-1744
Address
Address
1610 SE Glenwood St, Portland, OR 97202
National Provider ID: 1215127873
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PORTLAND SPORTS MEDICINE & SPINE PHYSICAL THERAPY

Portland, OR

Doing business as:
PORTLAND SPORTS MEDICINE & SPINE PHYSICAL THERAPY INC
Registration:
Sep 21, 2006
Addresses:
1610 SE Glenwood St, Portland, OR 97202 (Physical)
1506 SE Yukon St, Portland, OR 97202 (Mailing)
State ID:
38281697
Business type:
Assumed Business Name
Agent:
Michael Quesnell,1506 SE Yukon St, Portland, OR 97202 (Physical)

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