Individual
MRS. LISA ANN SEVCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3214 NE SCHUYLER ST, PORTLAND, OR 97212-5131
(503) 957-3056
Mailing address
3214 NE SCHUYLER ST, PORTLAND, OR 97212-5131
(503) 957-3056
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
Primary
3505
OR
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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