Dr. Joel P Agresta, DC, PT
Chiropractor in Portland, OR. Individual provider (NPI-1).
NPI number1356416184
StatusActive
Last updated in NPPESJul 10, 2012
Details
- NPI
- 1356416184
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joel P Agresta
- Credential
- DC, PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2006
- Last updated
- Jul 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 27 1917 | OR | Yes |
| 225100000X | Physical Therapist | 879 | OR |
Practice location
2900 Ne 132nd AvenuePortland, OR 97230-3099
Phone 503-970-4070
Mailing address
2900 Ne 132nd AvenuePortland, OR 97230-3099
Phone 503-970-4070
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