Individual
KATHRYN ELIZABETH CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
Mailing address
15480 SW MALLARD DR STE 103, BEAVERTON, OR 97007-9437
(541) 631-8365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64765
OR
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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