Individual
MISS ANGELINA MARIE CIAVARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23764
MD
2251N0400X
Neurology Physical Therapist
Primary
62593
OR
Other
Enumeration date
08/15/2011
Last updated
05/14/2020
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