Individual
STACEY LEANN ABOSAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2330 NW FLANDERS ST STE G1, PORTLAND, OR 97210-3441
(503) 223-1856
Mailing address
2330 NW FLANDERS ST STE G1, PORTLAND, OR 97210-3441
(503) 223-1856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65347
OR
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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