Individual
MRS. JODI KATHRYN FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3687
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181501
—
OR
01
—
803931003
BC/BS OF OREGON
OR
01
—
P00480330
RAILRAOD MEDICARE
OR
Enumeration date
08/04/2006
Last updated
07/08/2008
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