Individual
MR. GIJSBERT JEROEN LAPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
4515 SUNNYSIDE RD SE, SALEM, OR 97302-3928
(503) 370-8284
(503) 566-8595
Mailing address
4515 SUNNYSIDE RD SE, SALEM, OR 97302-3928
(503) 370-8284
(503) 566-8595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2803
OR
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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