Individual
ASHLIE BURGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
507 NE 47TH AVE, PORTLAND, OR 97213-2236
(503) 215-6488
Mailing address
717 SE 71ST AVE, PORTLAND, OR 97215-2135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5031
OR
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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