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Mr. EMERY JAMES FAIRCHILD -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1790167781
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR, 970709697
Phone
(503) 570-3315

Specialties & Taxonomies

Physical Therapy Assistant Primary License: OR

All Addresses

MAILING

11850 SW ALLEN BLVD

BEAVERTON, OR, 970054805

(503) 646-7164

LOCATION

25117 SW PARKWAY AVE STE D

WILSONVILLE, OR, 970709697

(503) 570-3315