Individual
JIMENA LUJAN SERRANO OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10915 SE STARK ST, PORTLAND, OR 97216-3348
(503) 261-1120
(503) 261-8936
Mailing address
10915 SE STARK ST, PORTLAND, OR 97216-3348
(503) 261-1120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60034
OR
Other
Enumeration date
03/17/2013
Last updated
06/18/2014
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