Individual
SANDRA EBERWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1736 SE 36TH AVE, PORTLAND, OR 97214-5126
(503) 381-3068
Mailing address
1736 SE 36TH AVE, PORTLAND, OR 97214-5126
(503) 381-3068
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09061
OR
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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