Individual
MS. ELIZABETH J REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4709 N LAGOON AVE, A, PORTLAND, OR 97217-7741
(503) 445-4929
(503) 517-0206
Mailing address
1906 NW 25TH AVE, #3, PORTLAND, OR 97210-2567
(503) 229-8009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4838
OR
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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