Individual
MICHELLE JEAN THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3445 BOONE RD SE, SALEM, OR 97317-9336
(503) 576-3000
Mailing address
3411 HAYES ST APT 526, NEWBERG, OR 97132-1458
(320) 241-7072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62728
OR
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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