Individual
OLYA VASILYEVNA KURKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
51577 COLUMBIA RIVER HWY, SUITE A, SCAPPOOSE, OR 97056-8409
(503) 543-0254
(503) 543-0259
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
4193
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228888
—
OR
Enumeration date
11/23/2005
Last updated
11/09/2012
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