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Individual

DIANNE MCBRIDE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
637 NE STANTON ST, PORTLAND, OR 97212-3118
(314) 226-3322
Mailing address
637 NE STANTON ST, PORTLAND, OR 97212-3118
(314) 226-3322

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5651
OR

Other

Enumeration date
06/16/2008
Last updated
07/03/2015
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