Individual
MRS. SUSAN D HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4801 NE GLISAN ST., PORTLAND, OR 97213
(503) 215-6059
Mailing address
2940 SE BYBEE BLVD, PORTLAND, OR 97202-8738
(503) 775-3276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0862
OR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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