# MARILYN MILLER VONFOERSTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1518092964
- **Gender:** F
- **Credential:** P.T., M.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2190 | OR | Yes |
| 225100000X | Physical Therapist | 5435 | CA | — |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 030172000 | REGENCE BLUECROSS BLUESHI | OR |
| 05 | — | 182439 | — | OR |
| 01 | — | 3203119-01 | FC65, MEDICARE ADVANTAGE | OR |