Individual
JENNIFER TARA FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1630 SW MORRISON ST STE 100, PORTLAND, OR 97205-1916
(503) 227-7774
(503) 227-7548
Mailing address
2118 WILSHIRE BLVD # 860, SANTA MONICA, CA 90403-5704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293293
CA
225100000X
Physical Therapist
62698
OR
Other
Enumeration date
10/02/2018
Last updated
02/26/2020
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