Individual
MRS. JENNIFER ANN HARGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7203 SE RAYMOND ST, PORTLAND, OR 97206-4323
(503) 895-1320
(503) 296-2319
Mailing address
12948 SE WINSTON RD, DAMASCUS, OR 97089-7606
(503) 895-1320
(503) 296-2319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4970
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269781
—
OR
05
—
8429656
—
WA
Enumeration date
01/10/2007
Last updated
02/08/2014
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