Individual
ALLISON MICHELLE HARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10215 SW PARK WAY, SUITE D, PORTLAND, OR 97225-5036
(503) 292-3583
(503) 292-1022
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60605
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327607
WA L&I
OR
05
—
500672730
—
OR
01
—
P01417721
RR MEDICARE PTAN
OR
Enumeration date
06/12/2014
Last updated
08/07/2015
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