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Neil Bastian, MS, PT

Physical Therapist in Lake Oswego, OR. Individual provider (NPI-1).

NPI number1164580999
StatusActive
Last updated in NPPESOct 2, 2007

Details

NPI
1164580999
Entity type
Individual (NPI-1)
Name
Mr. Neil Bastian
Credential
MS, PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 5, 2006
Last updated
Oct 2, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2021ORYes

Practice location

870 5th St
Lake Oswego, OR 97034-2312

Phone 503-697-0542 · Fax 503-697-4895

Mailing address

870 5th St
Lake Oswego, OR 97034-2312

Phone 503-697-0542 · Fax 503-697-4895

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