Michael Oxentenko II

NPI #1558487116 in Gresham, Oregon

Provider Information

NPI Number: 1558487116
Entity Type: Individual
Name: Michael Oxentenko II
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Mar 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5905 SE POWELL VALLEY RD
City: Gresham
State: Oregon
ZIP Code: 97080-1919
Phone: (503) 665-1151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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