Anderson, Mark Alan

Anderson, Mark Alan is an individual health care provider with primary practice located at 14645 Sw Farmington Rd. , Beaverton OR 97007. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Anderson, Mark Alan can be contacted via phone (503) 718-5355.

Contact Information

Primary practice address
14645 Sw Farmington Rd. Beaverton OR 97007
Phone: (503) 718-5355
Fax: (971) 206-5203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 08703 Oregon

Profile Details

NPI number 1548533193
LBN Legal business name Anderson, Mark Alan
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2012
Last updated Feb 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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