Individual
JESSICA RACHEL LUSCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
101 S STATE ST, LAKE OSWEGO, OR 97034-3900
(503) 636-3028
Mailing address
101 S STATE ST STE 200G, LAKE OSWEGO, OR 97034-3900
(503) 636-3028
(503) 636-1837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6367
OR
Other
Enumeration date
12/01/2010
Last updated
08/29/2013
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