Individual
RACHEL CISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4550 CARMAN DR, LAKE OSWEGO, OR 97035-2520
(503) 675-6055
Mailing address
3736 SW 10TH AVE APT 2, PORTLAND, OR 97239-2992
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09784
OR
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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