Individual
PAMELA JEAN GROVES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
68643 HIGHWAY 20, TAI CENTRAL OREGON SISTERS, BEND, OR 97759-1947
(541) 549-3574
(541) 388-7785
Mailing address
11481 SW HALL BLVD, THERAPEUTIC ASSOCIATES INC STE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18749
CA
225100000X
Physical Therapist
Primary
4855
OR
225100000X
Physical Therapist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027802
—
OR
Enumeration date
11/30/2005
Last updated
07/08/2007
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