Individual
ELISABETH ESTACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
15390 NW CORNELL RD, SUITE 230, BEAVERTON, OR 97006-5627
(971) 245-6663
Mailing address
17279 NW LA PALOMA LN, BEAVERTON, OR 97006-7397
(818) 281-6841
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
06490
OR
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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