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Individual

KEATON RICHARDSON-RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC, CSCS

Contact information

Practice address
1327 SE TACOMA ST UNIT 122, PORTLAND, OR 97202-6639
(971) 361-9442
(888) 645-6068
Mailing address
1327 SE TACOMA ST UNIT 122, PORTLAND, OR 97202-6639
(971) 361-9442
(888) 645-6068

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60678
OR

Other

Enumeration date
07/30/2014
Last updated
01/08/2019
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