Individual
DR. JILLIAN LUCILLE VAN STAAVEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
16985 NW CORNELL RD STE 110, BEAVERTON, OR 97006-5639
(503) 601-9000
(503) 601-9001
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 682-8840
(423) 602-2028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60654
OR
Other
Enumeration date
06/17/2014
Last updated
10/03/2018
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