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Individual

NAMITA AVARSEKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
(503) 666-2444
Mailing address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
(503) 666-2444

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61421
LICENSE
OR
Enumeration date
12/20/2018
Last updated
12/20/2018
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