Individual
VALERIE ELIZABETH GANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
4560 SE INTERNATIONAL WAY, STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5200
Mailing address
86460 KINWOOD RD, EUGENE, OR 97402-9062
(541) 844-6457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2214
OR
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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