Doctor Name: | MARC GUILLEN |
NPI Number: | 1578717773 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 5802 |
Business Practice Address: | 12550 Se 93rd Ave Suite 265 Clackamas, OR - 970159786 |
Business Phone Number: | 5036599155 |
Business Fax Number: | 5036597336 |
Mailing Address: | 11481 Sw Hall Blvd, Suite 201 PORTLAND |
State: | OR |
Postal Code: | 972238403 |
Phone Number: | 8002198835 |
Fax Number: | 5036399699 |
NPI Enumeration Date: | 11/14/2008 |
NPI Last Update Date: | 06/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5802 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |