Individual
ELLEN DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 266-9810
Mailing address
3603 SE 57TH AVE, PORTLAND, OR 97206-2823
(281) 507-6545
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
61894
OR
Other
Enumeration date
01/04/2018
Last updated
04/29/2020
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