Individual
KAY THROCKMORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3009
(503) 221-3429
Mailing address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3009
(503) 221-3429
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1956
OR
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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