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Individual

CECILIA ISMARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4640 S MACADAM AVE STE 90, PORTLAND, OR 97239-4285
(503) 292-0765
Mailing address
14087 SW SPRINGBROOK LN, PORTLAND, OR 97223-2026
(775) 335-5205

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
302107
CA

Other

Enumeration date
10/10/2022
Last updated
03/03/2025
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