Individual
DR. STACIA DICKINSON TORBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3095
(503) 221-3429
Mailing address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64091
OR
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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