Individual
DEBRA MAGNANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
270 NW BURNSIDE RD, GRESHAM, OR 97030-3836
(503) 215-9141
Mailing address
6159 SE STEELE ST, PORTLAND, OR 97206-5458
(510) 557-9273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62742
OR
Other
Enumeration date
11/18/2018
Last updated
11/18/2018
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