Individual
KATHARINE BRANDT PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
932 SE 68TH AVE, PORTLAND, OR 97215-2110
(503) 467-6633
Mailing address
932 SE 68TH AVE, PORTLAND, OR 97215-2110
(503) 467-6633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4846
OR
225100000X
Physical Therapist
Primary
7900
WA
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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