Individual
JOY AGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 SW HUNZIKER ST, TIGARD, OR 97223-8283
(503) 443-1019
Mailing address
7320 SW HUNZIKER ST, TIGARD, OR 97223-8283
(503) 443-1019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
303957
OR
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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