Individual
JAMIE RAE COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1625 SE LAFAYETTE ST, PORTLAND, OR 97202-3862
(503) 208-6617
Mailing address
7080 SE OGDEN ST, PORTLAND, OR 97206-7384
(310) 953-1929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3979
NV
Other
Enumeration date
03/20/2019
Last updated
12/31/2024
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