Organization
E3 PHYSIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNALISE DUSELL PT (OWNER)
(805) 708-2802
Entity
Organization
Contact information
Practice address
1715 NW LOVEJOY ST, PORTLAND, OR 97209-2322
(805) 708-2802
Mailing address
405 NW UPTOWN TER APT 1B, PORTLAND, OR 97210-5556
(805) 708-2802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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