Individual
JILL VONDERHAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6410 NE HALSEY ST, STE 200, PORTLAND, OR 97213-4742
(503) 215-4321
Mailing address
6410 NE HALSEY ST, STE 200, PORTLAND, OR 97213-4742
(503) 215-4321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60518651
WA
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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