NPI 1255975256
Anthony D Body
Practice location
- Address
- 13203 SW Wellington Pl, Tigard, OR 97223-1776
- Phone
- (503) 336-0795
- Fax
- (503) 336-0795
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1255975256
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Nov 2019
- Record last updated
- 1 Nov 2019
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.