NPI 1104139229

Michael Mulligan, PTA

Practitioner Physical Therapy Assistant Beaverton, OR

Practice location

Address: 4855 SW Western Ave, Beaverton, OR 97005-3460
Phone: (503) 526-7449
Fax: (503) 277-1365

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 8670 (OR)

Other Physical Therapy Assistant providers in Oregon →

Registry record

NPI: 1104139229
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2010
Record last updated: 18 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.