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Individual

JENNIFER MICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4230 SE KING RD, 159, MILWAUKIE, OR 97222-5259
(503) 353-0672
Mailing address
4230 SE KING RD, 159, MILWAUKIE, OR 97222-5259

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7382
OR

Other

Enumeration date
01/14/2012
Last updated
01/14/2012
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