Individual
ANNIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
19150 SW 90TH AVE STE 200, TUALATIN, OR 97062-7624
(503) 435-1900
Mailing address
19150 SW 90TH AVE STE 200, TUALATIN, OR 97062-7624
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
63717
OR
Other
Enumeration date
07/08/2020
Last updated
01/06/2023
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