MR. Clem George Eischen JR., PT

NPI #1043292311 in Gresham, Oregon

Provider Information

NPI Number: 1043292311
Entity Type: Individual
Name: MR. Clem George Eischen JR., PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 14, 2005
Last Updated: Apr 23, 2018

Practice Location

Address: 24076 SE STARK ST
City: Gresham
State: Oregon
ZIP Code: 97030-3162
Phone: (503) 491-1666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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