Individual
EMILY LIGHTHIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4805 NE GLISAN STREET, PORTLAND, OR 97212
(503) 215-6059
Mailing address
2224 SE 53RD AVENUE, PORTLAND, OR 97215-3916
(503) 232-5320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4616
OR
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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