Individual
ALISON MODAFFERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2005 ELM ST STE 200, FOREST GROVE, OR 97116-2781
(503) 357-9810
(503) 357-9819
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62720
OR
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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