Colter Bothwell Valid NPI
Individual provider · Physical Therapist · Wilsonville, OR
- NPI
- 1093172249
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 7502 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2016-01-19
- Last updated
- 2016-01-19
Practice location
25117 Sw Parkway Ave Ste D
Wilsonville, OR 97070-9697
(971) 224-2040