Individual
JODI SASADEUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12045 SE STANLEY AVE, PORTLAND, OR 97222-2938
(503) 659-2323
(503) 659-2766
Mailing address
1501 COUNTRY CLUB RD, LAKE OSWEGO, OR 97034-2148
(503) 387-5358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
27825
CA
225100000X
Physical Therapist
Primary
3358
OR
Other
Enumeration date
08/30/2011
Last updated
08/31/2011
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