Individual
MARLIEN GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-2000
Mailing address
15605 SW SNOWY OWL LN, BEAVERTON, OR 97007-8675
(503) 969-7788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6389
OR
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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