Individual
AMY JO C TANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
13470 SW FARMINGTON RD, BEAVERTON, OR 97005-2618
(503) 644-3311
(503) 627-0112
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6094
OR
Other
Enumeration date
10/09/2009
Last updated
11/13/2012
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