-- WILLIAM BACKUS --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1487047098- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3060 SE STARK ST, PORTLAND, OR, 972143053
- Phone
- (503) 535-4700
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #09127
All Addresses
MAILING
25117 SW PARKWAY AVE SUITE D
WILSONVILLE, OR, 970709697