Individual
AMANDA EDWARDS KEEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
12616 SE STARK ST BLDG L, PORTLAND, OR 97233-1058
(360) 480-5859
(503) 408-0791
Mailing address
12616 SE STARK ST BLDG L, PORTLAND, OR 97233-1058
(360) 480-5859
(503) 408-0791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5018
OR
Other
Enumeration date
05/15/2007
Last updated
01/14/2013
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