Individual
JUDY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3528 NW 115TH AVE, PORTLAND, OR 97229-9308
(480) 298-1067
Mailing address
3528 NW 115TH AVE, PORTLAND, OR 97229-9308
(480) 298-1067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60471
OR
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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