Individual
MS. JOAN MARIE BRASSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10220 SW GREENBURG RD, LINCOLN CENTER 3, SUITE 201, PORTLAND, OR 97223-5503
(503) 570-3665
(503) 570-9155
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
(503) 570-9155
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2108
OR
2251G0304X
Geriatric Physical Therapist
6194
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204982
—
OR
Enumeration date
09/20/2007
Last updated
09/20/2007
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