Individual
ADELIA KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-6772
(503) 305-6129
Mailing address
2936 SE MONROE ST, MILWAUKIE, OR 97222-6635
(503) 407-5927
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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