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Organization

FITNESS & FUNCTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JACQUELINE SINKE HFS, PFT (OWNER)
(503) 267-1030
Entity
Organization

Contact information

Practice address
4804 NW BETHANY BLVD, SUITE 12 #167, PORTLAND, OR 97229-9195
(503) 267-1030
(503) 488-5576
Mailing address
4804 NW BETHANY BLVD, SUITE 12 #167, PORTLAND, OR 97229-9195
(503) 267-1030
(503) 488-5576

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary

Other

Enumeration date
12/01/2014
Last updated
12/01/2014
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