Individual
MS. THEODORA G. POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
120 N EVEREST RD STE C, NEWBERG, OR 97132-2116
(503) 538-8952
Mailing address
24600 NE HUMMINGBIRD CT, NEWBERG, OR 97132-1772
(503) 550-2810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08737
OR
Other
Enumeration date
02/01/2014
Last updated
02/01/2014
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