Individual
MARCIA E. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Mailing address
378 NE 7TH PL, HILLSBORO, OR 97124-7542
(619) 990-7113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T5963
OR
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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