Individual
HEATHERANN ALOSIA GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11850 SW ALLEN BLVD, BEAVERTON, OR 97005-4805
(503) 646-7164
Mailing address
755 SW 166TH AVE, BEAVERTON, OR 97006-4979
(503) 336-0003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4430
OR
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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